Individual provider · Type 1 NPI

Brady Green

Student in an Organized Health Care Education/Training Program · Boise, ID

NPI number 1720526445 Active

Practice location

1720 N Westgate Dr
Boise, ID 83704-7164

Call (208) 334-0800 Map

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1720526445

Brady Green's National Provider Identifier is 1720526445, issued on Feb 1, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boise, ID. The record was last updated on Feb 1, 2017.