Healthcare Provider Details
I. General information
NPI: 1457291379
Provider Name (Legal Business Name): BRI HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1802 N 7TH ST
COEUR D ALENE ID
83814-3423
US
IV. Provider business mailing address
1802 N 7TH ST
COEUR D ALENE ID
83814-3423
US
V. Phone/Fax
- Phone: 208-620-0906
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
KENDRA
GRIFFITTS
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 208-620-0906