Individual
LAURA LEE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1547 MIDWAY AVE SUITE B, AMMON, ID 83406-6912
(208) 497-0429
(208) 497-0430
Mailing address
5294 FREE AVE, IONA, ID 83427-4912
(208) 680-4915
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
50162
ID
363LF0000X
Family Nurse Practitioner
Primary
66030
ID
Other
Enumeration date
09/28/2020
Last updated
10/06/2020
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