Individual
LAURA ANN O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 789-7478
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
78971
ID
Other
Enumeration date
04/18/2024
Last updated
05/14/2024
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