NPI 1336403203

Larsen Harris Peterson, CDDONA

Practitioner Doula Hailey, ID

Practice location

Address: 1541 N 2nd Ave, Hailey, ID 83333-8629
Phone: (208) 720-4338
Mailing address: PO Box 4172, Ketchum, ID 83340-4172

Registered specialties

Doula Primary

Nursing Service Related Providers Taxonomy 374J00000X

Other Doula providers in Idaho →

Registry record

NPI: 1336403203
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jun 2012
Record last updated: 26 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.