Individual provider · NPI-1
Brynlee Mckague, MSN-FNPBC
Nurse Practitioner · Idaho Falls, ID
NPI number1336066018
StatusActive
Last updated in NPPESAug 28, 2026
Details
- NPI
- 1336066018
- Entity type
- Individual (NPI-1)
- Name
- Brynlee Mckague
- Credential
- MSN-FNPBC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 2, 2026
- Certification date
- Aug 28, 2026
- Last updated
- Aug 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 7981229 | ID | Yes |
| 163WG0000X | Registered Nurse, General Practice | 68663 | ID |
Other names
- Brynlee F Mckague (Professional Name)
Practice location
1660 John Adams PkwyIdaho Falls, ID 83401-4360
Phone 208-432-1976 · Fax 208-278-7956
Mailing address
1660 John Adams PkwyIdaho Falls, ID 83401-4360
Phone 208-432-1976 · Fax 208-278-7956
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