Individual
MARK AARON PHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
779 S. TENNYSON WAY, BOISE, ID 83709
(208) 724-1829
(208) 724-1829
Mailing address
779 S TENNYSON WAY, BOISE, ID 83709-7738
(208) 724-1829
(208) 724-1829
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N-29179
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M8070381
—
ID
05
—
M8071148
—
ID
Enumeration date
09/05/2017
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us