Mr Nathan Eric Bradfield, PMHNP | |
2280 E 25th St, Idaho Falls, ID 83404-7542 | |
(208) 227-2100 | |
(208) 227-2362 |
Full Name | Mr Nathan Eric Bradfield |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 2280 E 25th St, Idaho Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033542634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | NP-1317A (Idaho) | Primary |
Entity Name | Idaho Behavioral Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831435163 PECOS PAC ID: 7315184272 Enrollment ID: O20130513000516 |
Mailing Address | Practice Location Address |
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Mr Nathan Eric Bradfield, PMHNP Po Box 742358, Atlanta, GA 30374-2358 Ph: () - | Mr Nathan Eric Bradfield, PMHNP 2280 E 25th St, Idaho Falls, ID 83404-7542 Ph: (208) 227-2100 |
Mr. Morgan Tius Garriott, MSN, APRN, CNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2325 Coronado St, Idaho Falls, ID 83404 Phone: 208-542-7021 Fax: 208-542-7371 | |
Mrs. Molly Susan Phillipp, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2065 E 17th St, Suite D, Idaho Falls, ID 83404 Phone: 208-522-0747 Fax: 208-522-9641 | |
Sandy Palma, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2155 Rendezvous Rd, Idaho Falls, ID 83402 Phone: 773-386-1861 | |
James D Brown, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3360 Washington Pkwy Ste 2, Idaho Falls, ID 83404 Phone: 208-932-7024 Fax: 208-904-4447 | |
Salina Thetford, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2001 S Woodruff Ave Ste 4, Idaho Falls, ID 83404 Phone: 208-419-3271 | |
Christopher Leif Edwards, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2330 Coronado St, Idaho Falls, ID 83404 Phone: 208-542-7060 |