Defoggi, Laurel Kate
Defoggi, Laurel Kate is an individual health care provider with primary practice located at 951 E Plaza Dr Ste 110 , Eagle ID 83616-6567. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Defoggi, Laurel Kate can be contacted via phone (208) 274-9580.Contact Information
Primary practice address
951 E Plaza Dr Ste 110
Eagle ID 83616-6567
Phone: (208) 274-9580
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 79174 | Idaho |
Profile Details
| NPI number | 1356195200 |
|---|---|
| LBN Legal business name | Defoggi, Laurel Kate |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2024 |
| Last updated | Apr 16th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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