Individual provider · Type 1 NPI

Sydney Elizabeth Disselkamp, FNP

Nurse Practitioner · Coeur D Alene, ID

NPI number 1023604089 Active

Practice location

700 W Ironwood Dr Ste 378
Coeur D Alene, ID 83814-4401

Call (208) 625-3555 Map

Fax (208) 769-8616

Mailing address

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	63540 (ID)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1023604089

Sydney Elizabeth Disselkamp, FNP's National Provider Identifier is 1023604089, issued on Dec 14, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Apr 14, 2025.