MITCHELL GARRETT BROWN FNP NPI 1407456668

NPI Information

NPI: 1407456668
Provider Name: MITCHELL GARRETT BROWN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3101 E STATE ST
EAGLE, ID
ZIP 83616
Phone: (208) 473-3100
Get Directions

Mitchell Garrett Brown, FNP is a family nurse practitioner in Eagle, ID with 4 years of experience. Mitchell Garrett Brown, FNP NPI is 1407456668. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3101 E STATE ST
EAGLE, ID
ZIP 83616-232
Phone: (208) 473-3100

The NPI 1407456668 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/27/2020 and was last updated on 8/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	248862	ARIZONA	No
2	363LF0000X	Nurse Practitioner	Family	77052	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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