Mitchell Garrett Brown, FNP Valid NPI
Individual provider · Family Nurse Practitioner · Eagle, ID
- NPI
- 1407456668
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- 77052 (ID)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2020-10-27
- Last updated
- 2023-08-04
Practice location
3101 E State St
Eagle, ID 83616-6232
(208) 473-3100