NPI 1124982400
Vicky Mulendela
Practice location
- Address
- 9428 W Fairview Ave, Boise, ID 83704-8101
- Phone
- (208) 807-4970
- Mailing address
- 4175 S Leaning Tower Ave, Meridian, ID 83642-5242
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1124982400
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Dec 2025
- Record last updated
- 2 Mar 2026
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.