Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS JOHN BROWNELLER
ActiveSpecialist · POTLATCH, ID
Registration Details
- NPI Number
- 1407410517
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2019 (7.0256842503857 yrs)
- Last Updated
- Oct 12, 2019
Practice Information
- Address
-
610 OAK STPOTLATCH, ID, 838550359Browse ID providers · Browse ZIP 83855
- Phone
- 2083518968
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.