Individual
MRS. AMY LYNETTE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
338 6TH ST # 101, LEWISTON, ID 83501-2420
(208) 848-8300
(208) 848-8303
Mailing address
203 N WASHINGTON ST STE 300, SPOKANE, WA 99201-0254
(509) 434-0359
(509) 444-7806
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP1532A
ID
Other
Enumeration date
02/03/2015
Last updated
02/09/2015
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