# LEGION MEDICAL LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Embrace Psychiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467268235
- **Authorized official:** BRANDON PAUL KRUSE PMHNP-BC (OWNER)
- **Authorized official phone:** (208) 880-5890

## Contact information

- **Practice address:** 943 W OVERLAND RD. SUITE 3587, MERIDIAN, ID 83642
- **Practice address phone:** (208) 880-5890
- **Mailing address:** 943 W OVERLAND RD. SUITE 3587, MERIDIAN, ID 83642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2024
- **Last updated:** 12/13/2024