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

Malisa Bryan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659068351

Malisa Bryan is a Student in an Organized Health Care Education/Training Program in Idaho Falls, Idaho. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3100 Channing Way
Idaho Falls, ID 83404-7533
Phone: (208) 227-2850
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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 number1659068351
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 21, 2023
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024
Mailing address3100 Channing Way, Idaho Falls, ID 83404-7533

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