Individual
BRIAN BRIMHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
2420 E 25TH ST, IDAHO FALLS, ID 83404-7549
(208) 542-1026
Mailing address
2420 E 25TH ST, IDAHO FALLS, ID 83404-7549
(208) 542-1026
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
60802
ID
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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