Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountain States Neonatology, Inc

Organization Maternal & Fetal Medicine Physician · NPI 1205850823

Mountain States Neonatology, Inc is a Maternal & Fetal Medicine Physician in Boise, Idaho. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1055 N Curtis Rd
Boise, ID 83706-1309
Phone: (208) 367-7610
Fax: (208) 367-7616
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X
Maternal & Fetal Medicine Physician Taxonomy 207VM0101X
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X
Neonatal Nurse Practitioner Taxonomy 363LN0000X

Record details

NPI number1205850823
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nanette Sanders — Rcm Director · (800) 243-3839
NPI enumeratedJuly 27, 2006
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024
Mailing address1301 Concord Ter, Sunrise, FL 33323-2843

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