Brandy Lee Larson (NPI# 1730652280, PAC ID# 8628303799) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1730652280 |
| PAC ID by PECOS | 8628303799 |
| Professional Enrollment ID | I20190711001007 |
| Full Name | Brandy Lee Larson |
| Organization Legal Name | AAA AMERICAN HEALTHCARE LLC |
| Address |
396 Yellowstone Ave Pocatello ID 83201-4572 |
| Phone Number | 2085383122 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5294037388 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130018 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1327 E 17th St, Idaho Falls, ID 83404-6235 | 2085383122 | AAA AMERICAN HEALTHCARE LLC |
| 396 Yellowstone Ave, Pocatello, ID 83201-4572 | 2085383122 | AAA AMERICAN HEALTHCARE LLC |
| Organization Legal Name | AAA AMERICAN HEALTHCARE LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie Fowers | Clinical Social Worker | Aaa American Healthcare LLC | 1327 E 17th St, Idaho Falls, ID 83404-6235 |
| Rachel E Peay | Nurse Practitioner | Aaa American Healthcare LLC | 1327 E 17th St, Idaho Falls, ID 83404-6235 |
| Jacob W Moss | General Practice | Aaa American Healthcare LLC | 1327 E 17th St, Idaho Falls, ID 83404-6235 |
| Alison Muir | Clinical Social Worker | Aaa American Healthcare LLC | 1327 E 17th St, Idaho Falls, ID 83404-6235 |
| Dan I Dragotoiu | Internal Medicine | Aaa American Healthcare LLC | 1327 E 17th St, Idaho Falls, ID 83404-6235 |
| Chad M Porter | Clinical Social Worker | Aaa American Healthcare LLC | 1327 E 17th St, Idaho Falls, ID 83404-6235 |
| Kristy A Plesner | Clinical Social Worker | Aaa American Healthcare LLC | 1327 E 17th St, Idaho Falls, ID 83404-6235 |
| Jared John Martin | Nurse Practitioner | Aaa American Healthcare LLC | 1327 E 17th St, Idaho Falls, ID 83404-6235 |
| David E Spencer | Clinical Social Worker | Aaa American Healthcare LLC | 1327 E 17th St, Idaho Falls, ID 83404-6235 |
| Brian J Decker | Nurse Practitioner | Aaa American Healthcare LLC | 1327 E 17th St, Idaho Falls, ID 83404-6235 |
| Street Address |
396 YELLOWSTONE AVE |
| City | POCATELLO |
| State | ID |
| Zip | 83201-4572 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer K Sanderson | Nurse Practitioner | Aaa American Healthcare LLC | 396 Yellowstone Ave, Pocatello, ID 83201-4572 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy A Flicker | Physical Therapy | 2839 Margo Ln, Pocatello, ID 83201-1961 | |
| Michael D Lance | Psychiatry | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Kenneth A Cogen | Nephrology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Randall J Skeem | Internal Medicine | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Martha Elizabeth Franz | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| John L Shuss | General Surgery | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Ciara C Christensen | Clinical Psychologist | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Robin L Hall | Nurse Practitioner | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Laurence L Martens | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Terry J Buccambuso | Diagnostic Radiology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
| Find all physicians in zip 83201 | |||
| City | POCATELLO |
| Zip Code | 83201 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | POCATELLO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Brandy Lee Larson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.