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

MS. Laurel Kate Defoggi, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1356195200

MS. Laurel Kate Defoggi, FNP-BC is a Nurse Practitioner in Eagle, Idaho. Qualified in 2024, 2 years ago. Practices with Woundpro Technologies, a 2-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
2
Licensed in
ID
In the registry since
2024
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

951 E Plaza Dr Ste 110
Eagle, ID 83616-6567
Phone: (208) 274-9580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 79174 (ID)

Record details

NPI number1356195200
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedApril 16, 2024
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Woundpro Technologies — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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