Individual provider · Type 1 NPI

Willow Detzer Brasher, NP

Family Nurse Practitioner · Boise, ID

NPI number 1548913064 Active

Practice location

6140 W Curtisian Ave Ste 200
Boise, ID 83704-0107

Mailing address

5556 W School Ridge Rd
Boise, ID 83714-9463

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2021100497 (ID)

Family Nurse Practitioner: Definition to come...

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About NPI 1548913064

Willow Detzer Brasher, NP's National Provider Identifier is 1548913064, issued on Feb 3, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boise, ID. The record was last updated on Feb 3, 2022.