NPI 1013352285

Alexis R Siddoway, NP

Practitioner Neonatal Nurse Practitioner Idaho Falls, ID

Practice location

Address: 3100 Channing Way, Idaho Falls, ID 83404-7533
Phone: (208) 535-4432
Mailing address: 2860 Sunlight Dr, Idaho Falls, ID 83401-4807

Registered specialties (2)

Neonatal Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LN0000X Licence NP1309A (ID)

Other Nurse Practitioner providers in Idaho →

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence N37740 (ID)

Other Registered Nurse providers in Idaho →

Registry record

NPI: 1013352285
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 May 2013
Record last updated: 26 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.