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Brandy Lee Larson, FNP
Gynecologic Oncology Physician in Idaho Falls, Idaho
NPI 1730652280

Brandy Lee Larson is a Gynecologic Oncology Physician based in Idaho Falls, ID and is specialized in Gynecologic Oncology. Brandy Lee Larson practices in Idaho Falls, ID and has the professional credentials of FNP. The NPI Number for Brandy Lee Larson is 1730652280 and holds a License No. 60357 (Idaho).

The current practice location address for Brandy Lee Larson is 808 Pancheri Dr, Idaho Falls, ID and can be reached out via phone at 208-557-2900 and via fax at 208-557-2910.

Location: 808 Pancheri Dr, Idaho Falls, ID, 83404-4970
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730652280
Provider Name
Brandy Lee Larson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
808 Pancheri Dr, Idaho Falls, ID, 83404-4970
Phone Number
208-557-2900
Fax Number
208-557-2910
Provider Enumeration Date
01/08/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1730652280 05 ID
institution
Provider Business Practice Location Address Details
Address
808 Pancheri Dr
City
Idaho Falls
State
Idaho
Zip
83402-3344
Phone Number
208-557-2900
Fax Number
208-557-2910
person
Provider Business Mailing Address Details
Address
808 Pancheri Dr
City
Idaho Falls
State
Idaho
Zip
83402-3344
Phone Number
208-557-2900
Fax Number
208-557-2910
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecologic Oncology
Taxonomy
207VX0201X
License No.
CNP60357 (Idaho)
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
60357 (Idaho)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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