Mark Phelan, RN

NPI 1457879975 · on the registry since 2017 · sole proprietor

Practice

Address: 779 S. Tennyson Way
Boise, ID 83709
Phone: (208) 724-1829
Fax: (208) 724-1829
Organisation at this address: Adora House, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: Registered Nurse
163W00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-07-21
Status: Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho