NPI 1376701367

Vicki J Larson

Practitioner Adult Care Home Facility Nampa, ID

Practice location

Address: 2914 E Powerline Rd, Nampa, ID 83687-4920
Phone: (208) 353-0329

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Idaho →

Registry record

NPI: 1376701367
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 May 2008
Record last updated: 28 May 2008

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.