MRS. BRIANNA ASHLEY CRACOLICE (NPI# 1639640402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639640402 |
Entity Type | Individual |
Full Name | MRS. BRIANNA ASHLEY CRACOLICE |
Credential | NP-C |
Practice Address |
1007 W Orchard Ave Nampa ID 83651-1878 |
Mailing Address |
215 E Hawaii Ave Nampa ID 83686-6011 |
Practice Telephone | 2084612838 |
Mailing Telephone | 2084633000 |
Mailing Fax Number | 2084633079 |
Enumeration Date | 2018-12-05 |
Last Update Date | 2019-10-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
53580 | ID | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
6933 W Emerald St, Boise, ID 837048616 | 2083210634 |
Street Address |
1007 W ORCHARD AVE |
City | NAMPA |
State | ID |
Zip Code | 83651-1878 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265565477 | All Horizons, Inc. | Counselor | 1007 W Orchard Ave, Nampa, ID 83651-1878 | 2007-03-14 |
1396867826 | Cheryl Christianson | Counselor | 1007 W Orchard Ave, Nampa, ID 83651-1878 | 2007-04-04 |
1710002100 | Lacy Hoffer | Counselor | 1007 W Orchard Ave, Nampa, ID 83651-1878 | 2007-03-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376090985 | Stephen Michael Wren | Physician Assistant | 11035 W Karcher Rd, Nampa, ID 83651 | 2016-09-01 |
1104203157 | Jeremy Thorson | Social Worker | 456 West Orchard Ave., Apt D305, Nampa, ID 83651 | 2015-04-29 |
1134527708 | Community Health Clinics Inc | Clinic/Center | 207 1st Street S, Nampa, ID 83651 | 2014-12-15 |
1326455429 | Michelle Murchie | Pharmacist | 175 S. Middleton Rd, Nampa, ID 83651 | 2014-07-21 |
1700215373 | Stanley A Gillett | Chiropractor | 107 14th Ave S, Nampa, ID 83651 | 2013-11-04 |
1477996205 | James L Fries | Counselor | 847 Park Centre Way, Suite 5, Nampa, ID 83651 | 2013-04-11 |
1023367240 | Erin Westfall | Speech-Language Pathologist | 168 Mcclure Avenue, Nampa, ID 83651 | 2012-09-04 |
1487949475 | Erik Steven Linn | Family Medicine | 11035 W. Karcher Road, Nampa, ID 83651 | 2011-06-17 |
1720398647 | At Your Service Home Health Care LLC | In Home Supportive Care | 321 2nd St S Ste 103, Nampa, ID 83651 | 2010-10-13 |
1144544206 | Petra Morrison | Community/Behavioral Health | 1031 W. Sanetta St., Nampa, ID 83651 | 2010-03-18 |
Find all providers in zip 83651 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336772029 | Kaylynn Winwood | Nurse Practitioner | 16478 N Elderberry Cir, Nampa, ID 83651-8700 | 2020-02-20 |
1164549333 | Sarah D Witte | Nurse Practitioner | 223 16th Ave North, Nampa, ID 83653 | 2007-03-23 |
1366412595 | David T. Foss | Nurse Practitioner | 211 16th Ave N, Nampa, ID 83687-4058 | 2006-01-23 |
1679189732 | Eva Bingham | Nurse Practitioner | 5826 E Franklin Rd, Nampa, ID 83687-5020 | 2020-09-23 |
1730798695 | Bobbi Fuller | Nurse Practitioner | 430 W Iowa Ave, Nampa, ID 83686-2826 | 2020-07-27 |
1275169252 | Ashley Whitlow | Nurse Practitioner | 215 E Hawaii Ave, Nampa, ID 83686-6011 | 2020-03-21 |
1972079820 | Penny S Mcclain | Nurse Practitioner | 207 1st St S, Nampa, ID 83651-3703 | 2018-10-18 |
1659872000 | Ginger Lee Powers | Nurse Practitioner | 700 Caldwell Blvd, Nampa, ID 83651-1707 | 2018-02-21 |
1144738717 | Justin Willis Devinaspre | Nurse Practitioner | 1150 N Sister Catherine Way, Nampa, ID 83687 | 2018-01-17 |
1902315021 | Brandy Fitchett | Nurse Practitioner | 217 W Georgia Ave, Nampa, ID 83686-6811 | 2017-09-20 |
Find all providers in NAMPA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.