ANA LINDA LABORDE

EAGLE, ID
NPI1952883571
Former NameANA LINDA VERGEL DE DIOS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner Adult Health
(Licence: ID  59811)
Additional Taxonomies363LA2200X Nurse Practitioner Adult Health
(Licence: TX  730989)
363LG0600X Nurse Practitioner Gerontology
(Licence: TX  730989)
363LG0600X Nurse Practitioner Gerontology
(Licence: ID  59811)
Enumeration Date2018-08-30
Last Update Date2022-10-04
Business Address
ANA LINDA LABORDE AGNP-BC
219 S WOODDALE AVE
EAGLE, ID 83616-7714
Phone number: 208-994-5575
Mailing Address
ANA LINDA LABORDE AGNP-BC
PO BOX 1278
EAGLE, ID 83616-1278
Phone number: 089-945-5752