Individual
LAXMI BHATTARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2985 CORTEZ AVE, IDAHO FALLS, ID 83404-7554
(208) 523-3373
Mailing address
672 GATEHOUSE LN, IDAHO FALLS, ID 83404-4930
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1871865
ID
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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