Individual
BRENNEN GEORGIA MAGAGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6140 W CURTISIAN AVE STE 102, BOISE, ID 83704-0109
(208) 302-0000
(208) 302-0220
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 302-9342
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
47966
ID
363L00000X
Nurse Practitioner
Primary
3171170
ID
Other
Enumeration date
05/09/2025
Last updated
09/03/2025
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