NPI 1073331344
Paivi Brack
Practice location
- Address
- 1407 West McMillan Road Suite 120, Meridian, ID 83646
- Phone
- (208) 315-6717
- Fax
- (208) 315-6718
- Mailing address
- P.O. Box 1662, Meridian, ID 83680
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1073331344
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Sep 2024
- Record last updated
- 26 Sep 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.