Individual
ELISABETH CAPRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, RN, CPN
Contact information
Practice address
430 CRIMSON DR, IDAHO FALLS, ID 83401-3748
(208) 553-2883
Mailing address
430 CRIMSON DR, IDAHO FALLS, ID 83401-3748
(208) 553-2883
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
55707
ID
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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