Individual provider · Type 1 NPI

Alexis R. Siddoway, NP

Neonatal Nurse Practitioner · Idaho Falls, ID

NPI number 1013352285 Active

Practice location

3100 Channing Way
Idaho Falls, ID 83404-7533

Call (208) 535-4432 Map

Mailing address

2860 Sunlight Dr
Idaho Falls, ID 83401-4807

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XN37740 (ID)
Neonatal Nurse Practitioner Primary 363LN0000XNP1309A (ID)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1013352285

Alexis R. Siddoway, NP's National Provider Identifier is 1013352285, issued on May 1, 2013. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Idaho Falls, ID. The record was last updated on Oct 26, 2013.