person
Charles Blaise Larson, FNP-BC
Family Nurse Practitioner in Twin Falls, Idaho
NPI 1497120349

Charles Blaise Larson is a Family Nurse Practitioner based in Twin Falls, ID and is specialized in Family. Charles Blaise Larson practices in Twin Falls, ID and has the professional credentials of FNP-BC. The NPI Number for Charles Blaise Larson is 1497120349 and holds a License No. NP-1716A (Idaho).

The current practice location address for Charles Blaise Larson is 730 N College Rd Ste B, Twin Falls, ID and can be reached out via phone at 208-814-7350.

Location: 730 N College Rd Ste B, Twin Falls, ID, 83301-3382
person
Provider Profile Details
NPI Number
1497120349
Provider Name
Charles Blaise Larson
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
730 N College Rd Ste B, Twin Falls, ID, 83301-3382
Phone Number
208-814-7350
Fax Number
Provider Enumeration Date
12/03/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
730 N College Rd Ste B
City
State
Zip
83301-3382
Phone Number
208-814-7350
Fax Number
person
Provider Business Mailing Address Details
Address
730 N College Rd Ste B
City
State
Zip
83301-3382
Phone Number
208-814-7350
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
NP-1716A (Idaho)
Definition
Definition to come...
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