Organization
BRIAN J. DECKER, MSN, FNPC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN J DECKER APRN (PARTNER)
(208) 403-4140
Entity
Organization
Contact information
Practice address
3863 E 300 N, RIGBY, ID 83442-5423
(208) 403-4140
Mailing address
3863 E 300 N, RIGBY, ID 83442-5423
(208) 403-4140
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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