IndividualActive
Brandy Larson, FNP
NPI 1730652280 · Gynecologic Oncology Physician · Idaho Falls, ID
Provider details
- NPI number
- 1730652280
- Entity type
- Individual
- Primary specialty
- Gynecologic Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 60357 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Practice location
808 Pancheri Dr
Idaho Falls, ID 83402-3344
Phone: (208) 557-2900
Fax: (208) 557-2910
Approximate (ZIP-level) locationGet directions
Mailing address
3450 Potomac Way
Idaho Falls, ID 83404-4970
Registry dates
- Enumerated
- 2019-01-08
- Last updated
- 2022-10-31
- Certified
- 2022-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.