Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breanna Carlos

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124504337

Breanna Carlos is a Student in an Organized Health Care Education/Training Program in Pocatello, Idaho. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1169 Call Creek Dr
Pocatello, ID 83201-3077
Phone: (202) 232-7780
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1124504337
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 11, 2018
Last updated in NPPESJuly 11, 2018
Mailing address1169 Call Creek Dr, Pocatello, ID 83201-3077

Other providers in Pocatello