Sara Larsen, PMHNP | |
2705 E 17th St, Ammon, ID 83406-6601 | |
(208) 346-7500 | |
Not Available |
Full Name | Sara Larsen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 2705 E 17th St, Ammon, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609551720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | N-42254 (Idaho) | Primary |
Entity Name | Pearl Health Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447426465 PECOS PAC ID: 0840356077 Enrollment ID: O20090312000617 |
Mailing Address | Practice Location Address |
---|---|
Sara Larsen, PMHNP 1209 W 5000 N, Rexburg, ID 83440-3204 Ph: (208) 249-1974 | Sara Larsen, PMHNP 2705 E 17th St, Ammon, ID 83406-6601 Ph: (208) 346-7500 |
Jayde Barnes, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-346-7500 Fax: 208-346-7501 | |
Melissa Phillips Fehrenbacker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1499 Curlew Dr, Ammon, ID 83406 Phone: 208-227-3355 Fax: 208-529-6631 | |
Christopher James Jankowski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-346-7500 | |
Nicole Boyle, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-757-3973 | |
Colton Jeffery Phelps, MSN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1675 Curlew Dr, Ammon, ID 83406 Phone: 208-523-5319 | |
Michelle Norman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-346-7501 | |
David Paul Adams, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1675 Curlew Dr, Ammon, ID 83406 Phone: 208-523-5319 Fax: 208-523-5627 |