Individual
ANA LINDA LABORDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-BC
Contact information
Practice address
219 S WOODDALE AVE, EAGLE, ID 83616-7714
(208) 994-5575
(208) 994-5576
Mailing address
PO BOX 1278, EAGLE, ID 83616-1278
(089) 945-5752
(208) 994-5576
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
59811
ID
363LA2200X
Adult Health Nurse Practitioner
730989
TX
363LG0600X
Gerontology Nurse Practitioner
59811
ID
363LG0600X
Gerontology Nurse Practitioner
730989
TX
Other
Enumeration date
08/30/2018
Last updated
10/04/2022
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