Laurel Kate Defoggi, FNP-BC Valid NPI

Individual provider · Family Nurse Practitioner · Eagle, ID

NPI

1356195200

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

79174 (ID)

Sex

Female

Sole proprietor

No

Enumerated

2024-04-16

Last updated

2024-04-16