| NPI | 1083098727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX BROWN Provider/Owner 208-375-0722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1265A) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2021-10-28 |