| NPI | 1598849051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA J. MASON Owner/Fn Pc 208-529-2352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP386A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2012-02-03 |