NPI 1013753946
Philip Resin Elackatt, RN
Practice location
- Address
- 500 W Fort St, Boise, ID 83702-4501
- Phone
- (986) 256-1766
- Mailing address
- 3307 Ivy Mill Ln, Missouri City, TX 77459-6525
Registered specialties
Pain Management Registered Nurse
Primary
Registry record
- NPI
- 1013753946
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Jul 2024
- Record last updated
- 1 Jul 2024
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.