Healthcare Provider Details

I. General information

NPI: 1164335550
Provider Name (Legal Business Name): PATRICIA CORRINE HILLSNAPP-RANKIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 N. SCHOOL STREET
CASCADE ID
83611
US

IV. Provider business mailing address

106 E PARK ST STE 227
MCCALL ID
83638-5069
US

V. Phone/Fax

Practice location:
  • Phone: 208-994-5537
  • Fax:
Mailing address:
  • Phone: 208-994-5537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: