Search › Idaho › 363L00000X
Brandon Tracy, FNP-C
NPI 1710403746 · on the registry since 2017
Practice
- Address
- 1049 Summers Dr
Rexburg, ID 83440 - Phone
- (208) 359-4841
- Fax
- (208) 359-4842
- Organisation at this address
- Alpine Dermatology Clinic P.C.
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 150 S Main St Ste 1, Driggs, ID
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LF0000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-11
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