Mrs. Molly Susan Phillipp
Nurse Practitioner - Women's Health Nurse Practitioner - Obstetrics & Gynecology
2065 E 17th St Suite D
Idaho Falls
, Idaho 83404-8042
Mrs. Molly Susan Phillipp
Nurse Practitioner - Women's Health Nurse Practitioner - Obstetrics & Gynecology
2065 E 17th St Suite D
Idaho Falls
, Idaho 83404-8042
(208) 522-9641
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About
Features
Specialties
- Nurse Practitioner - Women's Health
- Nurse Practitioner - Obstetrics & Gynecology
Languages spoken
- English
Location
First Address
- Mrs. Molly Susan Phillipp
- 2065 E 17th St Suite D
- Idaho Falls, ID
- Zip : 83404-8042
- Fax : (208) 522-9641
- Phone : (208) 522-0747
Second Address
- Mrs. Molly Susan Phillipp
- 2065 E 17th St Suite D
- Idaho Falls, ID
- Zip : 83404-8042
- Fax : (208) 522-9641
- Phone : (208) 522-0747
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LW0102X | Nurse Practitioner - Women's Health | NP320A | ID |
| Y | 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | NP320A | ID |
National Provider Identifier
| NPI | 1003925819 |
|---|---|
| Provider Name | Mrs. Molly Susan Phillipp |
| First Address | Idaho Falls, ID 83404-8042 |
| Second Address | Idaho Falls, ID 83404-8042 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/08/2006 |
| Last Update Date | 10/05/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 002352900 | (05) | ID |
| S21767 | (02) | ID |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.