Individual provider · Type 1 NPI

Molly Susan Phillipp, C.R.N.P.

Obstetrics & Gynecology Nurse Practitioner · Idaho Falls, ID

NPI number 1003925819 Active

Practice location

2065 E 17th St, Suite D
Idaho Falls, ID 83404-8042

Fax (208) 522-9641

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner 363LW0102XNP320A (ID)
Obstetrics & Gynecology Nurse Practitioner Primary 363LX0001XNP320A (ID)

Obstetrics & Gynecology Nurse Practitioner: Definition to come...

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About NPI 1003925819

Molly Susan Phillipp, C.R.N.P.'s National Provider Identifier is 1003925819, issued on Aug 29, 2006. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Idaho Falls, ID. The record was last updated on May 10, 2013.