IndividualActive
Bradley Martin, PMHNP
NPI 1114536737 · Psychiatric/Mental Health Nurse Practitioner · Twin Falls, ID
Provider details
- NPI number
- 1114536737
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Male
- Sole proprietor
- No
- License
- 76908 (ID)
Practice location
358 Cheney Dr W Ste 101a
Twin Falls, ID 83301-6484
Phone: (208) 515-2273
Fax: (208) 515-2274
Mailing address
358 Cheney Dr W Ste 101a
Twin Falls, ID 83301-6484
Registry dates
- Enumerated
- 2020-07-29
- Last updated
- 2024-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.