IndividualActive
Phillissa Rozansky
NPI 1336668730 · Neonatal Nurse Practitioner · Boise, ID
Provider details
- NPI number
- 1336668730
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN.0124082 (CO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
190 E Bannock St
Boise, ID 83712-6241
Phone: (303) 717-4168
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2017-09-17
- Last updated
- 2018-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.