# MCNALLY MOBILE CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982422564
- **Authorized official:** CRYSTAL MCNALLY NP (CEO)
- **Authorized official phone:** (986) 200-6219

## Contact information

- **Practice address:** 811 NW 12TH ST, FRUITLAND, ID 83619-2268
- **Practice address phone:** (986) 207-1720
- **Practice address fax:** (866) 531-4582
- **Mailing address:** 811 NW 12TH ST, FRUITLAND, ID 83619-2268
- **Mailing address phone:** (986) 200-6219
- **Mailing address fax:** (866) 531-4582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/01/2024
- **Last updated:** 08/24/2026