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

St Michael Nephrology, PLLC

Organization Nephrology Physician · NPI 1144887050

St Michael Nephrology, PLLC is a Nephrology Physician in Boise, Idaho. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1674 S Loggers Pond Pl Apt 14
Boise, ID 83706-7517
Phone: (986) 200-8202
Fax: (626) 593-4751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 190 E Bannock St, Boise, ID 83712 — (986) 200-8202

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1144887050
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ernest Daniel Dytiapco — Nephrologist · (986) 200-8202
Other names St Mikes Neph; St Mikes Neph
NPI enumeratedMay 26, 2019
Last updated in NPPESJuly 14, 2019
Mailing address999 W Main St Ste 100, Boise, ID 83702-9001

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