IndividualActive
Brianna Cracolice, NP-C
NPI 1639640402 · Primary Care Nurse Practitioner · Nampa, ID
Provider details
- NPI number
- 1639640402
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 53580 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1510 12th Ave Rd
Nampa, ID 83686-6008
Phone: (208) 302-6800
Fax: (208) 302-6855
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 190930
Boise, ID 83719-0930
Additional practice locations (1)
- 215 E Hawaii AveNampa, ID 83686-6011Phone: (208) 468-5910Fax: (208) 463-3353
Registry dates
- Enumerated
- 2018-12-05
- Last updated
- 2024-02-27
- Certified
- 2024-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.