Carmody, Brennan N

Carmody, Brennan N is an individual health care provider with primary practice located at 943 N Linder Rd Ste 103 , Kuna ID 83634-3395. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Carmody, Brennan N can be contacted via phone (208) 565-0978.

Contact Information

Primary practice address
943 N Linder Rd Ste 103 Kuna ID 83634-3395
Phone: (208) 565-0978
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X NPPEND Idaho
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP1318A Idaho

Profile Details

NPI number 1629400734
LBN Legal business name Carmody, Brennan N
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2013
Last updated Apr 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629400734 NPPES
Washington Other G8937328 MEDICARE
Washington Other 0338594 MEDICARE

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