IndividualActive
Laresa Janousek, NP
NPI 1013949155 · Neonatal Nurse Practitioner · Boise, ID
Provider details
- NPI number
- 1013949155
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- NP749A (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2222
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2011-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.