Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Laura Kasallis

Individual provider Ambulatory Care Registered Nurse · NPI 1255090189

Laura Kasallis is an Ambulatory Care Registered Nurse in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2021

Practice location Address checks out

500 W Fort St
Boise, ID 83702-4501
Phone: (208) 422-7421
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Care Registered Nurse (primary) Taxonomy 163WP2201X · Licence 29906 (ID)

Record details

NPI number1255090189
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 8, 2021
Last updated in NPPESDecember 8, 2021
Certification dateDecember 8, 2021
Mailing address10717 W Catmint Dr, Star, ID 83669-6205

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