Individual provider · Type 1 NPI
Sengpraseuth Johnny Luangaphay, RN
General Practice Registered Nurse · Boise, ID
NPI number
1508514449
Active
Practice location
500 W Fort St
Boise, ID 83702-4501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 41733 (ID) |
General Practice Registered Nurse: Definition to come...
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About NPI 1508514449
Sengpraseuth Johnny Luangaphay, RN's National Provider Identifier is 1508514449, issued on Mar 10, 2022. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Boise, ID. The record was last updated on Mar 10, 2022.