IndividualActive
Brady Green
NPI 1720526445 · Student in an Organized Health Care Education/Training Program · Boise, ID
Provider details
- NPI number
- 1720526445
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
- Social Worker104100000X
Behavioral Health & Social Service Providers
Practice location
1720 N Westgate Dr
Boise, ID 83704-7164
Phone: (208) 334-0800
Approximate (ZIP-level) locationGet directions
Mailing address
1720 N Westgate Dr
Boise, ID 83704-7164
Registry dates
- Enumerated
- 2017-02-01
- Last updated
- 2017-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.