Brian Robert Johnson, N.P.
Nurse Practitioner, Family in Blackfoot, ID. Individual provider (NPI-1).
NPI number1962895888
StatusActive
Last updated in NPPESMay 6, 2016
Details
- NPI
- 1962895888
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brian Robert Johnson
- Credential
- N.P.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 17, 2015
- Last updated
- May 6, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | NP-1550A | ID | Yes |
Practice location
1350 Parkway DrBlackfoot, ID 83221-1657
Phone 208-782-2415 · Fax 208-782-2411
Mailing address
98 Poplar StBlackfoot, ID 83221-1758
Phone 208-785-4100 · Fax 208-785-8529
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All 16 Family Nurse Practitioner providers in Blackfoot · All 515 providers in Blackfoot
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