IndividualActive
Laura Eaton, NP-C
NPI 1982115309 · Gerontology Nurse Practitioner · Meridian, ID
Provider details
- NPI number
- 1982115309
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 57106 (ID)
Practice location
4740 N Penngrove Way
Ste 100
Meridian, ID 83646
Phone: (208) 938-3663
Fax: (208) 938-3664
Mailing address
4740 N Penngrove Way
Meridian, ID 83646
Registry dates
- Enumerated
- 2017-10-12
- Last updated
- 2020-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.