Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRETT JOHANSEN, PA-C
ActiveBRETT JOHANSEN, PA-C is a Medical Physician Assistant healthcare provider located in FRUITLAND, Idaho. NPI 1982074696 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FRUITLAND, ID
Registration Details
- NPI Number
- 1982074696
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 7, 2015 (10.666411801088 yrs)
- Last Updated
- Oct 7, 2015
- License
-
PA-1308 (ID)
Practice Information
- Address
-
1210 NW 16TH STFRUITLAND, ID, 836192202Browse ID providers · Browse ZIP 83619
- Phone
- 2084529881
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in FRUITLAND, ID
| Name | Credential | NPI |
|---|---|---|
| SEAN P HACKETT | PA-C | 1881685642 |
| VICTOR M ISHIDA | P.A. | 1194894113 |
| MR. BRADLEY JAMES HENINGER | PA-C | 1205103389 |
| CHARLES EDWARD BRIOSCHI JR. | PA | 1083086870 |
| KAYLA A NAGY | PA-C | 1215452586 |
| MRS. CRYSTA KIMES | PA | 1184115735 |
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.