Provider Demographics
NPI:1194356022
Name:BOJO, SABRINA (AGNP)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:BOJO
Suffix:
Gender:
Credentials:AGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:11696 W GABRIELLE CT
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83713-7812
Mailing Address - Country:US
Mailing Address - Phone:208-600-3463
Mailing Address - Fax:866-369-1643
Practice Address - Street 1:11696 W GABRIELLE CT
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-7812
Practice Address - Country:US
Practice Address - Phone:208-600-3463
Practice Address - Fax:866-369-1643
Is Sole Proprietor?:No
Enumeration Date:2020-01-29
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IDAG01200124363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology