NATHAN ALLEN BRISCOE

BOISE, ID
NPI1114599164
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  54362)
Enumeration Date2021-07-10
Last Update Date2021-09-07
Business Address
NATHAN ALLEN BRISCOE CRNA
2537 W STATE ST STE 200
BOISE, ID 83702-2200
Phone number: 208-336-0895
Mailing Address
NATHAN ALLEN BRISCOE CRNA
3538 N CURT DR
MERIDIAN, ID 83646-5506
Phone number: 208-991-8511