Brandon Madsen, CRNA
Nurse Anesthetist, Certified Registered in Rupert, ID. Individual provider (NPI-1).
NPI number1265037741
StatusActive
Last updated in NPPESJun 5, 2025
Details
- NPI
- 1265037741
- Entity type
- Individual (NPI-1)
- Name
- Brandon Madsen
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 2, 2020
- Certification date
- Jun 5, 2025
- Last updated
- Jun 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 79700 | ID | Yes |
| 163W00000X | Registered Nurse | 6382424-3102 | UT | |
| 367500000X | Nurse Anesthetist, Certified Registered | 47281 | WY |
Practice location
1224 8th StRupert, ID 83350-1599
Phone 208-436-0481 · Fax 208-436-6038
Mailing address
1224 8th StRupert, ID 83350-1599
Phone 208-436-0481 · Fax 208-436-6038
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