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

Mary Rose Fay Standlee, CSFA

Individual provider Plastic Surgery Physician · NPI 1538872502

Mary Rose Fay Standlee, CSFA is a Plastic Surgery Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2023.

Licensed in
ID
In the registry since
2023

Practice location Address checks out

305 E Jefferson St
Boise, ID 83712-6231
Phone: (208) 381-2222
Show map & directions

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

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence $$$$$$$$$ (ID)

Record details

NPI number1538872502
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSFA
Sole proprietorNo
NPI enumeratedJanuary 4, 2023
Last updated in NPPESJanuary 4, 2023
Certification dateJanuary 4, 2023

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