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

Mr. Larry Michael Oborn, PA-C

Individual provider Family Nurse Practitioner · NPI 1942219233

Mr. Larry Michael Oborn, PA-C is a Family Nurse Practitioner in Boise, Idaho. Licensed in California and Idaho. Registered with an NPI since 2006.

Licensed in
CA, ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

11197 W Fairview Ave
Boise, ID 83713-7935
Phone: (208) 378-8011
Fax: (208) 322-8095
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA-1099 (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence PA11201 (CA)

Record details

NPI number1942219233
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 5, 2006
Last updated in NPPESJuly 8, 2014

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