Brennen Phan, RN

Registered Nurse · Boise, ID

Individual Active NPI

NPI number 1619861382

Practice location

190 E Bannock St
Boise, ID 83712-6241
Phone
(208) 706-5850

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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

TaxonomyCodeLicenseState
Registered Nurse Primary 163W00000X 73136 ID

Mailing address

1850 S Pelican Ave
Meridian, 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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