Brennen Phan, RN
Registered Nurse · Boise, ID
Practice location
190 E Bannock StBoise, ID 83712-6241
- Phone
- (208) 706-5850
NPI record
- NPI
- 1619861382
- Entity type
- Individual (Type 1)
- Enumeration date
- June 5, 2025
- Last updated
- June 5, 2025
- Certified
- June 5, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse Primary | 163W00000X |
73136 | ID |
Mailing address
1850 S Pelican AveMeridian, ID 83642-4747
- Phone
- (208) 794-2175
About Brennen Phan
Brennen Phan, RN is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 190 E Bannock St, Boise, ID 83712-6241. The NPI number 1619861382 was assigned on June 5, 2025 and the record was last updated on June 5, 2025.
Brennen Phan lists a license in the registry: #73136 (ID) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Brennen Phan, RN?
The NPI number is 1619861382.
What is the phone number of Brennen Phan?
The phone number listed for the practice location is (208) 706-5850.
Where is Brennen Phan located?
190 E Bannock St, Boise, ID 83712-6241.
What is the taxonomy code for Brennen Phan?
The primary taxonomy code is 163W00000X – Registered Nurse.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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