IndividualActive
Braxton Simpson
NPI 1104700038 · Student in an Organized Health Care Education/Training Program · Pocatello, ID
Provider details
- NPI number
- 1104700038
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Practice location
921 S 8th Ave Stop 8253
Pocatello, ID 83209-0002
Phone: (208) 282-4726
Mailing address
921 S 8th Ave Stop 8253
Pocatello, ID 83209-0002
Registry dates
- Enumerated
- 2025-08-04
- Last updated
- 2025-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.