Individual
MRS. LAURIE FOUTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
520 N 3RD AVE, SANDPOINT, ID 83864-1507
(208) 263-1441
Mailing address
6896 W SNOWVILLE RD, BRECKSVILLE, OH 44141-3214
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
59351
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59351
STATE OF IDAHO
ID
Enumeration date
04/19/2006
Last updated
10/24/2024
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