Mary Laree Kenworthy, - Licensed Practical Nurse in Boise, ID

Mary Laree Kenworthy, is a Licensed Practical Nurse based in Boise, Idaho. Mary Laree Kenworthy is licensed to practice in Idaho (license number PN8104) and her current practice location is 500 W Fort St Bldg 88, Boise, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 422-1000.

NPI number for Mary Laree Kenworthy is 1487267266 and her current mailing address is 500 W Fort St Bldg 88, Boise, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487267266.

Contact Information

Mary Laree Kenworthy,
500 W Fort St Bldg 88,
Boise, ID 83702-4598
(208) 422-1000
(208) 422-1591



Provider's Profile

Full NameMary Laree Kenworthy
GenderFemale
SpecialityLicensed Practical Nurse
Location500 W Fort St Bldg 88, Boise, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487267266
  • Provider Enumeration Date: 08/31/2020
  • Last Update Date: 08/31/2020

Medical Identifiers

Medical identifiers for Mary Laree Kenworthy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487267266NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 8104 (Idaho)Secondary
164W00000XLicensed Practical Nurse PN8104 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Laree Kenworthy is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Laree Kenworthy,
500 W Fort St Bldg 88,
Boise, ID 83702-4598

Ph: (208) 422-1000
Mary Laree Kenworthy,
500 W Fort St Bldg 88,
Boise, ID 83702-4598

Ph: (208) 422-1000

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› Verified 2 days ago


Licensed Practical Nurse Nurses in Boise, ID

James Hd Hecht, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 500 W Fort St, Boise, ID 83702
Phone: 208-422-1000    Fax: 208-422-1536
Mr. Brian Lynn Lambrecht, NURSE
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 500 W Fort St, Boise, ID 83702
Phone: 208-422-1000    
Mandie Marie Phillips, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 500 W Fort St, Boise, ID 83702
Phone: 208-422-1000    Fax: 208-422-1051
Ms. Jackie Lynn Rehnstrom, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 500 W Fort St, Boise, ID 83702
Phone: 208-422-1000    
Harjit Kaur Gala,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 500 W Fort St, Boise, ID 83702
Phone: 208-422-1000    
Rodney D Mcalpin, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 500 W Fort St, Boise, ID 83702
Phone: 208-422-1000    
Briana Rae Budell, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 500 W Fort Steet, Building 28 Room G05, Boise, ID 83702
Phone: 208-422-1000    

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