Individual provider · Type 1 NPI

Brennen Georgia Magagna

Nurse Practitioner · Boise, ID

NPI number 1780474015 Active

Practice location

6140 W Curtisian Ave Ste 102
Boise, ID 83704-0109

Call (208) 302-0000 Map

Fax (208) 302-0220

Mailing address

PO Box 190930
Boise, ID 83719-0930

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	3171170 (ID)
Registered Nurse	163W00000X	47966 (ID)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1780474015

Brennen Georgia Magagna's National Provider Identifier is 1780474015, issued on May 9, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boise, ID. The record was last updated on Sep 3, 2025.