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

Mitchell Garrett Brown, FNP

Individual provider Family Nurse Practitioner · NPI 1407456668

Mitchell Garrett Brown, FNP is a Nurse Practitioner in Eagle, Idaho. Qualified in 2020, 6 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Idaho.

Years since qualifying
6
Licensed in
AZ, ID
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3101 E State St
Eagle, ID 83616-6232
Phone: (208) 473-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 625 N Plaza Dr, Apache Junction, AZ 85120-5502 — (480) 983-0065

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 77052 (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 248862 (AZ)

Record details

NPI number1407456668
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 27, 2020
Last updated in NPPESAugust 4, 2023
Certification dateAugust 4, 2023
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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