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Phillissa Kay Rozansky
Neonatal Nurse Practitioner in Boise, Idaho
NPI 1336668730

Phillissa Kay Rozansky is a Neonatal Nurse Practitioner based in Boise, ID and is specialized in Neonatal. Phillissa Kay Rozansky practices in Boise, ID. The NPI Number for Phillissa Kay Rozansky is 1336668730 and holds a License No. RN.0124082 (Idaho).

The current practice location address for Phillissa Kay Rozansky is 190 E Bannock St, Boise, ID and can be reached out via phone at 303-717-4168.

Location: 190 E Bannock St, Boise, ID, 83712-6241
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Provider Profile Details
NPI Number
1336668730
Provider Name
Phillissa Kay Rozansky
Credential
Provider Entity Type
Individual
Gender
Female
Address
190 E Bannock St, Boise, ID, 83712-6241
Phone Number
303-717-4168
Fax Number
Provider Enumeration Date
09/17/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN.0124082 01 CO RN LICENSE
institution
Provider Business Practice Location Address Details
Address
190 E Bannock St
City
State
Zip
83712-6241
Phone Number
303-717-4168
Fax Number
person
Provider Business Mailing Address Details
Address
190 E Bannock St
City
State
Zip
83712-6241
Phone Number
303-717-4168
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
RN.0124082 (Colorado)
Definition
Definition to come...
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