Kogan, Larisa

Kogan, Larisa is an individual health care provider with primary practice located at 308 E Hawaii Ave , Nampa ID 83686-6013. 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. Kogan, Larisa can be contacted via phone (208) 467-6700.

Contact Information

Primary practice address
308 E Hawaii Ave Nampa ID 83686-6013
Phone: (208) 467-6700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP0000 Idaho

Profile Details

NPI number 1740680149
LBN Legal business name Kogan, Larisa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2014
Last updated Sep 4th, 2014 - about 10 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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