Individual provider · NPI-1
Taylor Bonning, BS
Case Management · Idaho Falls, ID
NPI number1235007592
StatusActive
Last updated in NPPESOct 28, 2025
Details
- NPI
- 1235007592
- Entity type
- Individual (NPI-1)
- Name
- Taylor Bonning
- Credential
- BS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 28, 2025
- Certification date
- Oct 28, 2025
- Last updated
- Oct 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | ID | Yes |
Practice location
675 E Anderson StIdaho Falls, ID 83401-2020
Phone 208-432-1976 · Fax 208-278-7956
Mailing address
675 E Anderson StIdaho Falls, ID 83401-2020
Phone 208-432-1976 · Fax 208-278-7956
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