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

MR. BRENNEN PHAN, RN

Active

MR. BRENNEN PHAN, RN is a Registered Nurse healthcare provider located in BOISE, Idaho. NPI 1619861382 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · BOISE, ID

Registration Details

NPI Number
1619861382
Provider Type
Individual
Gender
Male
NPI Issued
Jun 5, 2025 (1.0050888674926 yrs)
Last Updated
Jun 5, 2025
License
73136 (ID)

Practice Information

Address
190 E BANNOCK ST
BOISE, ID, 837126241
Browse ID providers · Browse ZIP 83712
Phone
2087065850
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in BOISE, ID

Name Credential NPI
MARIE FRIEDMANN RN 1346372901
BARRY GEORGE RN 1942420286
MS. DALEEN ANN NELSON RN IBCLC 1912199423
JOAN THERESE SCHMIDT RN 1134374861
CARLA DOROTHY PLADSEN RN 1053649335
MS. BARBARA FRANEK RN 1851640338
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.