Individual
LAUREN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
211 FOREST ST, MCCALL, ID 83638-5256
(208) 634-2225
(208) 634-7212
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201701391RN
OR
363LF0000X
Family Nurse Practitioner
201701392NP-PP
OR
363LF0000X
Family Nurse Practitioner
NP-63259
ID
363LP2300X
Primary Care Nurse Practitioner
Primary
NP-63259
ID
Other
Enumeration date
03/01/2017
Last updated
05/06/2024
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