Northstar Healthcare LLC
NPI #1598849051 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1598849051
- Entity Type
- Organization
- Organization Name
- Northstar Healthcare LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Oct 24, 2006
- Last Updated
- Feb 3, 2012
Practice Location
- Address
- 1995 E 17TH ST
- Address 2
- STE 2
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-6493
- Phone
- (208) 529-2352
Authorized Official
- Name
- LAURA J. MASON, FNPC
- Title
- OWNER/FNPC
- Phone
- (208) 529-2352
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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