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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MANDIE MARIE PHILLIPS, LPN

Active Sole Proprietor

MANDIE MARIE PHILLIPS, LPN is a Licensed Practical Nurse healthcare provider located in BOISE, Idaho. NPI 1104434950 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · BOISE, ID

Registration Details

NPI Number
1104434950
Provider Type
Individual
Gender
Female
NPI Issued
Jul 17, 2020 (6.0345524242015 yrs)
Last Updated
Jul 17, 2020
License
15151 (ID)
Sole Proprietor
Yes

Practice Information

Address
500 W FORT ST
BOISE, ID, 837024501
Browse ID providers · Browse ZIP 83702
Phone
2084221000
Fax
2084221051
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in BOISE, ID

Name Credential NPI
MRS. TONIA C GRANTHAM LPN 1295994648
MRS. FRANCES MARIE LOVELY LPN 1336399021
MARCEY LOUISE WAUGH LPN 1457974669
DOLLIE L BLACK 1427671684
JAN DRAKE LPN 1841815149
REBECCA MCCALL 1811500937
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.