P Praxis·MD
● Active Type 1 · Individual

Phillissa Kay Rozansky

Nurse Practitioner·Boise, ID· NPI 1336668730 · Enumerated 2017 · 8 years on NPI
Rozansky is 1 of 22 nurse practitioner providers in Boise and 1 of 34 in Idaho.
NPI age
8 years
Enumerated 2017-09-17
Primary specialty
Nurse Practitioner
Licensed in
CO
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-06-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 34 active nurse practitioner providers in Idaho.

NPI age
8 years
≈ at median (8 yr)
State licenses
1 state
41% of peers hold multiple states
Subspecialties
0
55% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-09Enumerated in NPPES
2017 2026

Where they practice

Practice location
190 E Bannock St
Boise, ID 837126241
📞 3037174168
Mailing address
190 E Bannock St
Boise, ID 837126241

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    CO license #RN.0124082 taxonomy 363LN0000X

Identifiers

TypeValueNotes
01 (CO) RN.0124082 RN LICENSE

Practice context

Part of a multi-provider practice. 671 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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