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NPI Code Detail

MEDICARE: ELISE BRAMHALL

MEDICARE: ELISE BRAMHALL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianID

General Provider Information

NPI Number : 1356206395
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISE BRAMHALL
Provider Business Mailing Address
First Line : 5335 E BRIDAL VEIL FALLS DR
Second Line :
City : NAMPA
State : ID
Zip : 83686-1033
Country : US
Telephone Number : 206-746-9053
Fax Number :
Provider Business Practice Location Address
First Line : 1905 S TOPAZ WAY STE 100
Second Line :
City : MERIDIAN
State : ID
Zip : 83642-4112
Country : US
Telephone Number : 208-417-7971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2025
Last Update Date : 12/22/2025

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Directions to “ ELISE BRAMHALL ” Practice Location

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