Individual provider · Type 1 NPI
David Craig Sjostrand, NP-C
Family Nurse Practitioner · Wilder, ID
NPI number
1053850164
Active
Practice location
124 5th St
Wilder, ID 83676-5540
Fax (208) 585-6221
Mailing address
PO Box 277976
Atlanta, GA 30384-7976
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | N-44357 (ID) |
| Family Nurse Practitioner Primary | 363LF0000X | 55373 (ID) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Wilder
About NPI 1053850164
David Craig Sjostrand, NP-C's National Provider Identifier is 1053850164, issued on Feb 22, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wilder, ID. The record was last updated on Jul 21, 2022.