Individual provider · Type 1 NPI
Bradley Martin, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Twin Falls, ID
NPI number
1114536737
Active
Practice location
358 Cheney Dr W Ste 101A
Twin Falls, ID 83301-6484
Fax (208) 515-2274
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 76908 (ID) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1114536737
Bradley Martin, PMHNP's National Provider Identifier is 1114536737, issued on Jul 29, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Twin Falls, ID. The record was last updated on May 8, 2024.