Larisa Kogan, NP

NPI #1740680149 in Nampa, Idaho

Provider Information

NPI Number
1740680149
Entity Type
Individual
Name
Larisa Kogan, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Sep 4, 2014
Last Updated
Sep 4, 2014

Practice Location

Address
308 E HAWAII AVE
City
Nampa
State
Idaho
ZIP Code
83686-6013
Phone
(208) 467-6700

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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