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

Phyllis D Tezeno-Burris, NP

Individual provider Nurse Practitioner · NPI 1073542056

Phyllis D Tezeno-Burris, NP is a Nurse Practitioner in Boise, Idaho. Qualified in 1998, 28 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in California and Idaho.

Years since qualifying
28
Licensed in
CA, ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1000 E Park Blvd Ste 120
Boise, ID 83712-7793
Phone: (208) 381-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 57502 (ID)
Nurse Practitioner Taxonomy 363L00000X · Licence NP9976 (CA)

Record details

NPI number1073542056
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 1, 2006
Last updated in NPPESApril 8, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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