Individual
LINDA MARIE GASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2074
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2074
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
NP-1011A
ID
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
20833
ID
363LN0005X
Critical Care Neonatal Nurse Practitioner
AP60841664
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871805390
—
WA
Enumeration date
07/13/2010
Last updated
11/04/2024
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