Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VICKY MULENDELA
Active Sole ProprietorVICKY MULENDELA is a Community Health Worker healthcare provider located in BOISE, Idaho. NPI 1124982400 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · BOISE, ID
Registration Details
- NPI Number
- 1124982400
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 11, 2025 (0.71994456503127 yrs)
- Last Updated
- Mar 2, 2026
- Sole Proprietor
- Yes
Practice Information
- Address
-
9428 W FAIRVIEW AVEBOISE, ID, 837048101Browse ID providers · Browse ZIP 83704
- Phone
- 2088074970
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| KIMBERLEE BRANT | LPN LMT | 1285027672 |
| RUSSELL ADAM MONTGOMERY | BA | 1861269383 |
| TAMMIE HAYNES | BA | 1407623598 |
| MS. TAMY JO MURKLE | BA, MA | 1699535260 |
| JESLYN MASHELL NEES | BS, MA | 1922868694 |
| TYLAR KELTY | — | 1750141966 |
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.