Individual provider · Type 1 NPI

Mandie Marie Phillips, LPN

Licensed Practical Nurse · Boise, ID

NPI number 1104434950 Active

Practice location

500 W Fort St
Boise, ID 83702-4501

Fax (208) 422-1051

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X15151 (ID)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1104434950

Mandie Marie Phillips, LPN's National Provider Identifier is 1104434950, issued on Jul 17, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Boise, ID. The record was last updated on Jul 17, 2020.