Individual provider · Type 1 NPI
Laura Kasallis
Ambulatory Care Registered Nurse · Boise, ID
NPI number
1255090189
Active
Practice location
500 W Fort St
Boise, ID 83702-4501
Mailing address
10717 W Catmint Dr
Star, ID 83669-6205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse Primary | 163WP2201X | 29906 (ID) |
Ambulatory Care Registered Nurse: Definition to come...
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- Aaron Null, PharmDPharmacotherapy Pharmacist Boise, ID NPI 1548516735
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- Alan Kelly Winward, RNAdministrator Registered Nurse Boise, ID NPI 1538885041
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- Michelle CasperAmbulatory Care Registered Nurse Boise, ID NPI 1427675867
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- Morgan Wussow, RNAmbulatory Care Registered Nurse Boise, ID NPI 1487253670
About NPI 1255090189
Laura Kasallis's National Provider Identifier is 1255090189, issued on Dec 8, 2021. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Boise, ID. The record was last updated on Dec 8, 2021.