IndividualActive
Charissa Phillips, RN
NPI 1871240028 · Ambulatory Care Registered Nurse · Boise, ID
Provider details
- NPI number
- 1871240028
- Entity type
- Individual
- Primary specialty
- Ambulatory Care Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 67341 (ID)
Specialties & taxonomies
Nursing Service Providers
Practice location
500 W Fort St
Boise, ID 83702-4501
Phone: (208) 422-1000
Approximate (ZIP-level) locationGet directions
Mailing address
500 W Fort St
Boise, ID 83702-4501
Registry dates
- Enumerated
- 2022-03-08
- Last updated
- 2022-03-08
- Certified
- 2022-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.