MRS. MOLLY SUSAN PHILLIPP C.R.N.P.
NPI 1003925819
Nurse Practitioner - Obstetrics & Gynecology in Idaho Falls, ID

Active since August 29, 2006
2065 E 17TH ST, SUITE D, IDAHO FALLS, ID 83404(208) 522-0747(208) 522-9641 Get Directions Write a Review

NPPES record last updated: May 10, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Molly Susan Phillipp C.r.n.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MOLLY SUSAN PHILLIPP C.R.N.P. (NPI 1003925819) is an individual obstetrics & gynecology provider in Idaho Falls, Idaho, licensed in Idaho (NP320A) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1003925819
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameMRS. MOLLY SUSAN PHILLIPPCredential: C.R.N.P.
Location Address2065 E 17TH ST, SUITE DIdaho Falls, ID 83404-8042
Mailing Address2065 E 17th St, Suite DIdaho Falls, ID 83404-8042 · (208) 522-0747 · Fax (208) 522-9641
Fax(208) 522-9641
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateMay 10, 2013
NPI 1003925819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License Licensed in ID · NP320A
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License NP320A (ID)
2065 E 17TH ST, Idaho Falls, ID 83404

Other Identifiers 3

Other820296824ID · Tax Id Number
Medicare UPINS21767ID
Medicaid002352900ID

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
2065 E 17TH ST, SUITE D
IDAHO FALLS, ID 83404
Physician Assistant (Medical)
2065 E 17TH ST, SUITE D
IDAHO FALLS, ID 83404
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
2065 E 17TH ST, SUITE B
IDAHO FALLS, ID 83404
Family Medicine (Adult Medicine)
2065 E 17TH ST, SUITE A
IDAHO FALLS, ID 83404
Family Medicine
2065 E 17TH ST, SUITE A
IDAHO FALLS, ID 83404
Physician Assistant (Medical)
2065 E 17TH ST, SUITE D
IDAHO FALLS, ID 83404
Specialist
2065 E 17TH ST, ST A
IDAHO FALLS, ID 83404
Physician Assistant
2065 E 17TH ST
IDAHO FALLS, ID 83404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Molly Phillipp's NPI number?

The NPI number for Molly Phillipp is 1003925819. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Molly Phillipp located?

Molly Phillipp practices at 2065 E 17th St Suite D, Idaho Falls, ID 83404. The listed phone number is (208) 522-0747.

What is Molly Phillipp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

When was this NPI record last updated?

The NPPES record for Molly Phillipp was last updated on May 10, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.