Individual provider · Type 1 NPI

Connor Rezzonico, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Coeur D Alene, ID

NPI number 1063184968 Active

Practice location

1110 W Park Pl Ste 222
Coeur D Alene, ID 83814-2784

Fax (949) 864-3567

Other practice locations

  • 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 · (208) 625-4870

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XAP70005328 (WA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X74368 (ID)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1063184968

Connor Rezzonico, PMHNP's National Provider Identifier is 1063184968, issued on Sep 29, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Coeur D Alene, ID. The record was last updated on May 20, 2026.