Individual provider · Type 1 NPI

Dimitri Shchadenko, FNP

Family Nurse Practitioner · Idaho Falls, ID

NPI number 1104489343 Active

Practice location

2065 E 17th St Ste A
Idaho Falls, ID 83404-8042

Call (800) 640-3451 Map

Mailing address

2885 NW 10th Ave
Meridian, ID 83646-3159

Other practice locations

  • 1000 N Curtis Rd Ste 105, Boise, ID 83706-1345 · (650) 284-6595

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X95010927 (CA)
Family Nurse Practitioner Primary 363LF0000X67946 (ID)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1104489343

Dimitri Shchadenko, FNP's National Provider Identifier is 1104489343, issued on Apr 14, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Idaho Falls, ID. The record was last updated on Mar 20, 2026.