Organization
LEGION MEDICAL LLC
Active
Other names
Embrace Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON PAUL KRUSE PMHNP-BC (OWNER)
(208) 880-5890
Entity
Organization
Contact information
Practice address
943 W OVERLAND RD. SUITE 3587, MERIDIAN, ID 83642
(208) 880-5890
Mailing address
943 W OVERLAND RD. SUITE 3587, MERIDIAN, ID 83642
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/13/2024
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