Provider Demographics
| NPI: | 1629882378 |
|---|---|
| Name: | COMPREHENSIVE HEALTH ASSOCIATES |
| Entity type: | Organization |
| Organization Name: | COMPREHENSIVE HEALTH ASSOCIATES |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | BRADLEY |
| Authorized Official - Middle Name: | C |
| Authorized Official - Last Name: | WROBEL |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | DNP |
| Authorized Official - Phone: | 986-777-0329 |
| Mailing Address - Street 1: | 4822 N ROSEPOINT WAY STE 101 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | BOISE |
| Mailing Address - State: | ID |
| Mailing Address - Zip Code: | 83713-0944 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 986-777-0329 |
| Mailing Address - Fax: | 208-453-6447 |
| Practice Address - Street 1: | 4822 N ROSEPOINT WAY STE 101 |
| Practice Address - Street 2: | |
| Practice Address - City: | BOISE |
| Practice Address - State: | ID |
| Practice Address - Zip Code: | 83713-0944 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 986-777-0329 |
| Practice Address - Fax: | 208-453-6447 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2025-02-04 |
| Last Update Date: | 2025-10-23 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | Group - Multi-Specialty |