BRENNAN N CARMODY NP NPI 1629400734

NPI Information

NPI: 1629400734
Provider Name: BRENNAN N CARMODY, NP
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

Address:
520 S EAGLE RD
STE 3209
MERIDIAN, ID
ZIP 83642
Phone: (208) 345-5250
Get Directions

Brennan N Carmody, NP is an obstetrics and gynecology nurse practitioner in Meridian, ID. Brennan N Carmody, NP NPI is 1629400734. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

520 S EAGLE RD
STE 3209
MERIDIAN, ID
ZIP 83642-351
Phone: (208) 345-5250

The enumeration date for this NPI number is 7/31/2013 and was last updated on 7/20/2015.

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	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	NPPEND	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G8937328	OTHER	WASHINGTON	MEDICARE
2	0338594	OTHER	WASHINGTON	L&I

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: 11/14/2023

NPI Synchronization or Removal

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