BRADY SHEPHERD

Nurse Anesthetist, Certified Registered

Active Individual
NPI: 1093586158

Practice Address

777 HOSPITAL WAY
Pocatello, ID 83201

Phone: (208) 239-1000

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No 10256717-3102 (UT)
Nurse Anesthetist, Certified Registered 367500000X Yes 78781 (ID)

Frequently Asked Questions

NPI 1093586158 is the National Provider Identifier for BRADY SHEPHERD, a Nurse Anesthetist, Certified Registered provider located in Pocatello, ID. This NPI was enumerated on January 9, 2024.
BRADY SHEPHERD practices at 777 HOSPITAL WAY, Pocatello, ID 83201.

Quick Facts

NPI
1093586158
Type
Individual
Enumerated
Jan 9, 2024
Last Updated
Mar 8, 2024

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