Molly Susan Phillipp in Idaho Falls - Obstetrics & Gynecology
Molly Susan Phillipp - NPI 1003925819
Molly Susan Phillipp is a Obstetrics & Gynecology in Idaho Falls, Idaho. Molly Susan Phillipp practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Molly Susan Phillipp is 1003925819. The last update date is 2013-05-10.
Molly Susan Phillipp's current location address is 2065 E 17th St, Idaho Falls, Idaho. You can contact this provider via phone number 2085220747 and fax number 2085229641. The mailing address for Molly Susan Phillipp is 2065 E 17th St, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Molly Susan Phillipp |
|---|---|
| Address | 2065 E 17th St, Idaho Falls, Idaho |
| Phone Number | 2085220747 |
| Fax Number | 2085229641 |
| Sole Proprietor | N |
| Credentials | C.R.N.P. |
NPI Number Detail
| NPI Number | 1003925819 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2013-05-10 |
Provider Mailing Address Detail
| Address | 2065 E 17th St |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834048042 |
| Phone Number | 2085220747 |
| Fax Number | 2085229641 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 363Lx0001X |
| Licence No | NP320A |
|
Definition: An advanced practice registered nurse expert in healthcare services related to the female reproductive system across the lifespan. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2352900 | ID | -- |
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What is the unique identifier code issued to Molly Susan Phillipp by the Centers for Medicare & Medicaid Services?
The Molly Susan Phillipp has been assigned the NPI (National Provider Identifier) 1003925819. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Molly Susan Phillipp located?
The Molly Susan Phillipp is located at 2065 E 17Th St, Idaho Falls, ID 834048042.
What is the Molly Susan Phillipp's specialty and taxonomy code?
The Molly Susan Phillipp's specialty is Obstetrics & Gynecology, and the corresponding taxonomy code is 363Lx0001X.
When did Molly Susan Phillipp receive its 1003925819 assignment?
The Molly Susan Phillipp was assigned its 1003925819 on 2006-08-29, which is the date when this unique identifier was issued to the organization.
When was the information related to Molly Susan Phillipp most recently updated or refreshed?
The details pertaining to the Molly Susan Phillipp, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-05-10.
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