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Mrs. Molly Susan Phillipp, CRNP
Obstetrics & Gynecology Nurse Practitioner in Idaho Falls, Idaho
NPI 1003925819

Molly Susan Phillipp is a Obstetrics & Gynecology Nurse Practitioner based in Idaho Falls, ID and is specialized in Obstetrics & Gynecology. Molly Susan Phillipp practices in Idaho Falls, ID and has the professional credentials of CRNP. The NPI Number for Molly Susan Phillipp is 1003925819 and holds a License No. NP320A (Idaho).

The current practice location address for Molly Susan Phillipp is 2065 E 17Th St, Idaho Falls, ID and can be reached out via phone at 208-522-0747 and via fax at 208-522-9641.

Location: 2065 E 17Th St, Idaho Falls, ID, 83404-8042
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Provider Profile Details
NPI Number
1003925819
Provider Name
Molly Susan Phillipp
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
2065 E 17Th St, Idaho Falls, ID, 83404-8042
Phone Number
208-522-0747
Fax Number
208-522-9641
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002352900 05 ID
institution
Provider Business Practice Location Address Details
Address
2065 E 17Th St
City
State
Zip
83404-8042
Phone Number
208-522-0747
Fax Number
208-522-9641
person
Provider Business Mailing Address Details
Address
2065 E 17Th St
City
State
Zip
83404-8042
Phone Number
208-522-0747
Fax Number
208-522-9641
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
NP320A (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
License No.
NP320A (Idaho)
Definition
Definition to come...
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