Provider Demographics
NPI:1740080126
Name:BOSTER, ANNE K (DONA)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:K
Last Name:BOSTER
Suffix:
Gender:
Credentials:DONA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2409 DAY DR
Mailing Address - Street 2:
Mailing Address - City:FRUITLAND
Mailing Address - State:ID
Mailing Address - Zip Code:83619-1020
Mailing Address - Country:US
Mailing Address - Phone:406-431-9549
Mailing Address - Fax:
Practice Address - Street 1:2409 DAY DR
Practice Address - Street 2:
Practice Address - City:FRUITLAND
Practice Address - State:ID
Practice Address - Zip Code:83619-1020
Practice Address - Country:US
Practice Address - Phone:406-431-9549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula