| Larissa Mann, AUD | |
|
172 2nd St S, Nampa, ID 83651-3708 | |
| (208) 489-5950 | |
| Not Available |
| Full Name | Larissa Mann |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 172 2nd St S, Nampa, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508170473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | AUD 2109 (Idaho) | Primary |
| Provider Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Larissa Mann, AUD 172 2nd St S, Nampa, ID 83651-3708 Ph: (208) 489-5950 | Larissa Mann, AUD 172 2nd St S, Nampa, ID 83651-3708 Ph: (208) 489-5950 |
Fisher Mobile Audiology Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1809 S Glasgow Ave, Nampa, ID 83686 Phone: 208-340-1482 | |
Treasure Valley Hearing Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1463 Caldwell Blvd, Nampa, ID 83651 Phone: 208-377-0019 Fax: 208-377-0313 | |
Pamela Jeanne Barry, CCC-SLP, CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 619 S Canyon St, Nampa School District, Nampa, ID 83686 Phone: 208-468-4600 | |
Jordan Patrick Bellucci, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 172 2nd St S, Nampa, ID 83651 Phone: 208-385-3260 | |
Dana Koltenuk Gladd, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 172 2nd St S, Nampa, ID 83651 Phone: 208-489-5950 | |
Dr. Laurie C Stucki, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 172 2nd St S, Nampa, ID 83651 Phone: 208-385-3620 Fax: 208-385-3621 |