Individual
BRANDI ANN BARTHOLOMEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
267 N CANYON DR, GOODING, ID 83330-5500
(208) 934-4433
(208) 934-4442
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77808
ID
Other
Enumeration date
06/26/2023
Last updated
12/13/2024
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