Brandy Lee Larson, FNP
NPI #1730652280 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1730652280
- Entity Type
- Individual
- Name
- Brandy Lee Larson, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Obstetrics & Gynecology - Gynecologic Oncology
- Credential
- FNP
- Enumeration Date
- Jan 8, 2019
- Last Updated
- Oct 31, 2022
Practice Location
- Address
- 808 PANCHERI DR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402-3344
- Phone
- (208) 557-2900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Obstetrics & Gynecology - Gynecologic Oncology — Gynecologic Oncology |
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Organizations
| Provider Name | |
|---|---|
| Eastern Idaho Reg Med Ctr Ps, LLC |
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