Individual
BRENNAN N CARMODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
176 E CALDERWOOD DR STE 150D, MERIDIAN, ID 83642-9095
(208) 402-8946
(208) 248-6939
Mailing address
2169 W OAKHAMPTON DR, EAGLE, ID 83616-7632
(208) 631-2121
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP1318A
ID
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
NPPEND
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0338594
L&I
WA
01
—
G8937328
MEDICARE
WA
Enumeration date
07/31/2013
Last updated
02/02/2026
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