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Nicholas John Browneller
Specialist in Potlatch, Idaho
NPI 1407410517

Nicholas John Browneller is a Specialist based in Potlatch, ID. Nicholas John Browneller practices in Potlatch, ID. The NPI Number for Nicholas John Browneller is 1407410517 and holds a License No. (Idaho).

The current practice location address for Nicholas John Browneller is 610 Oak St, Potlatch, ID and can be reached out via phone at 208-351-8968.

Location: 610 Oak St, Potlatch, ID, 83855-0359
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407410517
Provider Name
Nicholas John Browneller
Credential
Provider Entity Type
Individual
Gender
Male
Address
610 Oak St, Potlatch, ID, 83855-0359
Phone Number
208-351-8968
Fax Number
Provider Enumeration Date
04/24/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A0003385 05 ID
institution
Provider Business Practice Location Address Details
Address
610 Oak St
City
Potlatch
State
Idaho
Zip
83855-0359
Phone Number
208-351-8968
Fax Number
person
Provider Business Mailing Address Details
Address
610 Oak St
City
Potlatch
State
Idaho
Zip
83855-0359
Phone Number
208-351-8968
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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