Brooklyn Grange

NPI 1427730738 · on the registry since 2023

Practice

Address: 8921 W Hackamore Dr
Boise, ID 83709
Phone: (208) 994-4123
Fax: (800) 431-6309
Organisation at this address: A Promise Of Hope, Inc.
Northwest Occupational Medicine & Neurosurgical Spine Institute Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-11-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho