NPI 1023604089

Sydney Elizabeth Disselkamp, FNP

Practitioner Nurse Practitioner Coeur D Alene, ID

Practice location

Address: 700 W Ironwood Dr STE 378, Coeur D Alene, ID 83814-4401
Phone: (208) 625-3555
Fax: (208) 769-8616
Mailing address: 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 63540 (ID)

Other Nurse Practitioner providers in Idaho →

Registry record

NPI: 1023604089
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Dec 2020
Record last updated: 14 Apr 2025

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.