Individual provider · Type 1 NPI

Mallory Campbell

Ambulatory Women's Health Care Registered Nurse · Boise, ID

NPI number 1972407120 Active

Practice location

1713 W Jefferson St Apt 301
Boise, ID 83702-3909

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Women's Health Care Registered Nurse Primary 163WW0101X58915 (ID)

Ambulatory Women's Health Care Registered Nurse: Definition to come...

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About NPI 1972407120

Mallory Campbell's National Provider Identifier is 1972407120, issued on Oct 2, 2026. The primary taxonomy on file is Ambulatory Women's Health Care Registered Nurse (163WW0101X), and the practice location is in Boise, ID. The record was last updated on Oct 2, 2026.