Individual
CORY FRANKLIN BRISCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN CRNA MSN
Contact information
Practice address
3648 S BOULDER CREEK LN, AMMON, ID 83406-5114
(208) 201-7088
Mailing address
3648 S BOULDER CREEK LN, AMMON, ID 83406-5114
(208) 201-7088
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ARNP9367780
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9367780
ID
Other
Enumeration date
06/07/2016
Last updated
08/14/2025
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