Individual
BRANYAN DECARLO GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 83648-1062
(208) 828-7596
Mailing address
90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 83648-1062
(208) 828-7596
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
226715
AZ
363LF0000X
Family Nurse Practitioner
Primary
59398
NM
Other
Enumeration date
06/03/2019
Last updated
11/06/2025
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