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

Philip Resin Elackatt, RN

Individual provider Pain Management Registered Nurse · NPI 1013753946

Philip Resin Elackatt, RN is a Pain Management Registered Nurse in Boise, Idaho. Licensed in Texas. Registered with an NPI since 2024.

Licensed in
TX
In the registry since
2024
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

500 W Fort St
Boise, ID 83702-4501
Phone: (986) 256-1766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Management Registered Nurse (primary) Taxonomy 163WP0000X · Licence 900887 (TX)

Record details

NPI number1013753946
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedJuly 1, 2024
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024
Mailing address3307 Ivy Mill Ln, Missouri City, TX 77459-6525

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