NPI 1003925819

Molly Susan Phillipp, CRNP

Practitioner Obstetrics & Gynecology Nurse Practitioner Idaho Falls, ID

Practice location

Address: 2065 E 17th St Suite D, Idaho Falls, ID 83404-8042
Phone: (208) 522-0747
Fax: (208) 522-9641

Registered specialties (2)

Obstetrics & Gynecology Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LX0001X Licence NP320A (ID)

Other Nurse Practitioner providers in Idaho →

Women's Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LW0102X Licence NP320A (ID)

Registry record

NPI: 1003925819
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Aug 2006
Record last updated: 10 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.