Laresa M Janousek NP

NPI 1013949155 - Nurse Practitioner - 363LN0000X

NPI Details
NPI 1013949155
Gender Female
Enumeration Date 07/07/2006
Last Updated 04/08/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
190 E BANNOCK ST
BOISE ID, 83712-6241, US
Phone (208) 381-2222
Fax
Business Location
190 E BANNOCK ST
BOISE ID, 83712, US
Phone (208) 381-2222
Fax
Toxanomy
Taxonomy Code 363LN0000X
License State Idaho
License Number NP749A
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According to our database, Laresa M Janousek NP NPI is 1013949155, taxonomy code is 363LN0000X and license number is NP749A, license state is located at Idaho. Laresa M Janousek NP physically located at 190 E Bannock St, Boise ID, 83712-6241. NPI Number Laresa M Janousek NP has the Individual type.

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1013949155 NPI number is provided on an as is basis without warranty of any kind. 1013949155 is maintained by the National Plan & Provider Enumeration System. The contents of Laresa M Janousek NP are for informational purposes only.