Individual
CHRISTINE LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1910 UNIVERSITY DR, BOISE, ID 83725-0002
(208) 426-2689
Mailing address
2736 W TEANO DR, MERIDIAN, ID 83646-3212
(208) 340-7572
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
202101133RN
OR
163W00000X
Registered Nurse
Primary
58518
ID
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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