Individual provider · Type 1 NPI

Brianna Ashley Cracolice, NP-C

Primary Care Nurse Practitioner · Nampa, ID

NPI number 1639640402 Active

Practice location

1510 12th Ave Rd
Nampa, ID 83686-6008

Fax (208) 302-6855

Mailing address

PO Box 190930
Boise, ID 83719-0930

Other practice locations

  • 215 E Hawaii Ave, Nampa, ID 83686-6011 · (208) 468-5910

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X53580 (ID)
Primary Care Nurse Practitioner Primary 363LP2300XNP-53580 (ID)

Primary Care Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1639640402

Brianna Ashley Cracolice, NP-C's National Provider Identifier is 1639640402, issued on Dec 5, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Nampa, ID. The record was last updated on Feb 27, 2024.