P Praxis·MD
● Active Type 1 · Individual

Brandy Lee Larson, FNP

Obstetrics & Gynecology·Idaho Falls, ID· NPI 1730652280 · Enumerated 2019 · 7 years on NPI
Larson is 1 of 2 obstetrics & gynecology providers in Idaho Falls and 1 of 8 in Idaho.
NPI age
7 years
Enumerated 2019-01-08
Primary specialty
Obstetrics & Gynecology
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-10-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 8 active obstetrics & gynecology providers in Idaho.

NPI age
7 years
↓ 12 yr below median (19 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
1
In the 25% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-01Enumerated in NPPES
2019 2026

Where they practice

Practice location
808 Pancheri Dr
Idaho Falls, ID 834023344
📞 2085572900fax 2085572910
Mailing address
3450 Potomac Way
Idaho Falls, ID 834044970
📞 2085572900fax 2085572910

Specialties

  • Obstetrics & Gynecology Primary
    An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic...
    ID license #CNP60357 taxonomy 207VX0201X
  • Nurse Practitioner
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    ID license #60357 taxonomy 363L00000X

Identifiers

TypeValueNotes
05 (ID) 1730652280

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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