IndividualActive
Larsen Peterson, CD(DONA),
NPI 1336403203 · Doula · Hailey, ID
Provider details
- NPI number
- 1336403203
- Entity type
- Individual
- Primary specialty
- DoulaNursing Service Related Providers
- Credential
- CD(DONA),
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1541 N 2nd Ave
Hailey, ID 83333-8629
Phone: (208) 720-4338
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4172
Ketchum, ID 83340-4172
Registry dates
- Enumerated
- 2012-06-26
- Last updated
- 2012-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.