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

Vicky Mulendela

Individual provider Community Health Worker · NPI 1124982400

Vicky Mulendela is a Community Health Worker in Boise, Idaho. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

9428 W Fairview Ave
Boise, ID 83704-8101
Phone: (208) 807-4970
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1124982400
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 11, 2025
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026
Mailing address4175 S Leaning Tower Ave, Meridian, ID 83642-5242

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