Individual
NATHAN ALLEN BRISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2537 W STATE ST STE 200, BOISE, ID 83702-2200
(208) 336-0895
Mailing address
3538 N CURT DR, MERIDIAN, ID 83646-5506
(208) 991-8511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54362
ID
Other
Enumeration date
07/10/2021
Last updated
09/07/2021
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