MS. Laurel Kate Defoggi, FNP-BC

NPI #1356195200 in Eagle, Idaho

Provider Information

NPI Number
1356195200
Entity Type
Individual
Name
MS. Laurel Kate Defoggi, FNP-BC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
FNP-BC
Enumeration Date
Apr 16, 2024
Last Updated
Apr 16, 2024

Practice Location

Address
951 E PLAZA DR STE 110
City
Eagle
State
Idaho
ZIP Code
83616-6567
Phone
(208) 274-9580

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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