Individual
CARLA DOROTHY PLADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1226 W RIVER ST, BOISE, ID 83702-7049
(208) 331-1155
(208) 383-0190
Mailing address
2225 S CROSSCREEK LN, BOISE, ID 83706-6708
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N18818
ID
Other
Enumeration date
11/25/2009
Last updated
11/25/2009
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