Individual
MRS. LAURA JOANNE BAINBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, APRN, MSN
Contact information
Practice address
203 W. MAIN STREET, BOISE, ID 83702
(208) 336-7722
(208) 336-9284
Mailing address
203 W. MAIN STREET, BOISE, ID 83702
(208) 336-7722
(208) 336-9284
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA242
ID
363LF0000X
Family Nurse Practitioner
Primary
NP-1438A
ID
Other
Enumeration date
05/09/2007
Last updated
01/20/2017
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