Individual
BRANDY LEE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
808 PANCHERI DR, IDAHO FALLS, ID 83402-3344
(208) 557-2900
(208) 557-2910
Mailing address
3450 POTOMAC WAY, IDAHO FALLS, ID 83404-4970
(208) 557-2900
(208) 557-2910
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
CNP60357
ID
363L00000X
Nurse Practitioner
60357
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730652280
—
ID
Enumeration date
01/08/2019
Last updated
10/31/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us