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Individual

BRIANA RAE BUDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
500 W FORT STEET, BUILDING 28 ROOM G05, BOISE, ID 83702
(208) 422-1000
Mailing address
500 W FORT STEET, BUILDING 28 ROOM G05, BOISE, ID 83702
(208) 422-1000

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
15760
ID
164W00000X
Licensed Practical Nurse
201507682LPN
OR

Other

Enumeration date
09/07/2022
Last updated
09/07/2022
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