Individual
BRANDI JO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
2860 CHANNING WAY, SUITE 115, IDAHO FALLS, ID 83404
(208) 529-7283
Mailing address
2860 CHANNING WAY STE 115, IDAHO FALLS, ID 83404-7532
(208) 529-7283
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
56069
ID
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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