MEDICARE: DANI RENEE BROWN

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
1	104100000X	Social Worker	3571878	ID

General Provider Information

NPI Number	:	1841133915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANI RENEE BROWN

Provider Business Mailing Address
First Line	:	309 N GARDEN ST
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83706-1800
Country	:	US
Telephone Number	:	208-207-6771
Fax Number	:

Provider Business Practice Location Address
First Line	:	309 N GARDEN ST
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83706-1800
Country	:	US
Telephone Number	:	208-207-6771
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “ DANI RENEE BROWN ” Practice Location

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