Foutty, Laurie

Foutty, Laurie is an individual health care provider with primary practice located at 700 W Ironwood Dr Ste 120E , Coeur D Alene ID 83814-7008. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Foutty, Laurie can be contacted via phone (208) 625-3600.

Contact Information

Primary practice address
700 W Ironwood Dr Ste 120E Coeur D Alene ID 83814-7008
Phone: (208) 625-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 59351 Idaho

Profile Details

NPI number 1598720989
LBN Legal business name Foutty, Laurie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Dec 4th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598720989 NPPES
Florida Other 225742 AMERIGROUP
Florida Other 500015919 AMERIGROUP
Florida MEDICAID 303560300 AMERIGROUP

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