Provider Demographics
NPI:1538701529
Name:BODILY, AUBREY (RN, MSN, CNP)
Entity type:Individual
Prefix:
First Name:AUBREY
Middle Name:
Last Name:BODILY
Suffix:
Gender:F
Credentials:RN, MSN, CNP
Other - Prefix:
Other - First Name:AUBREY
Other - Middle Name:
Other - Last Name:SALMOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:1007 W ORCHARD AVE
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83651-1878
Mailing Address - Country:US
Mailing Address - Phone:208-461-2838
Mailing Address - Fax:208-461-5099
Practice Address - Street 1:1007 W ORCHARD AVE
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83651-1878
Practice Address - Country:US
Practice Address - Phone:208-461-2838
Practice Address - Fax:208-461-5099
Is Sole Proprietor?:No
Enumeration Date:2019-10-11
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCNP67339363LP0808X
UT8710894-3102163W00000X
ID67339363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse