person
Alisha Lorraine Phillips, FNP
Family Nurse Practitioner in Payette, Idaho
NPI 1205972544

Alisha Lorraine Phillips is a Family Nurse Practitioner based in Payette, ID and is specialized in Family. Alisha Lorraine Phillips practices in Payette, ID and has the professional credentials of FNP. The NPI Number for Alisha Lorraine Phillips is 1205972544 and holds a License No. N-19189 (Idaho).

The current practice location address for Alisha Lorraine Phillips is 823 Center Ave, Payette, ID and can be reached out via phone at 208-642-3396 and via fax at 208-642-9060.

Location: 823 Center Ave, Payette, ID, 83661-2535
person
Provider Profile Details
NPI Number
1205972544
Provider Name
Alisha Lorraine Phillips
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
823 Center Ave, Payette, ID, 83661-2535
Phone Number
208-642-3396
Fax Number
208-642-9060
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NPPU5 01 BLUE CROSS
820525763 01 COMMERCIAL
806957500 05 ID
000010147752 01 REGENCE BLUE SHIELD
278542 05 OR
institution
Provider Business Practice Location Address Details
Address
823 Center Ave
City
State
Zip
83661-2535
Phone Number
208-642-3396
Fax Number
208-642-9060
person
Provider Business Mailing Address Details
Address
823 Center Ave
City
State
Zip
83661-2535
Phone Number
208-642-3396
Fax Number
208-642-9060
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
N-19189 (Idaho)
Definition
Definition to come...
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