Individual provider · Type 1 NPI
Mark Aaron Phelan, RN
Registered Nurse · Boise, ID
Practice location
779 S. Tennyson Way
Boise, ID 83709
Fax (208) 724-1829
Mailing address
779 S Tennyson Way
Boise, ID 83709-7738
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | N-29179 (ID) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1457879975
Mark Aaron Phelan, RN's National Provider Identifier is 1457879975, issued on Sep 5, 2017. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Boise, ID. The record was last updated on Jul 21, 2022.