OrganizationActive
Mountain States Neonatology, Inc.
NPI 1205850823 · Neonatal-Perinatal Medicine Physician · Boise, ID
Provider details
- NPI number
- 1205850823
- Entity type
- Organization
- Primary specialty
- Neonatal-Perinatal Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Nanette Sanders, Rcm Director
Practice location
1055 N Curtis Rd
Boise, ID 83706-1309
Phone: (208) 367-7610
Fax: (208) 367-7616
Mailing address
1301 Concord Ter
Sunrise, FL 33323-2843
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2024-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.