Individual provider · Type 1 NPI

Codie M. Robertson, FNP-C

Family Nurse Practitioner · Pocatello, ID

NPI number 1134477870 Active

Practice location

110 Vista Dr
Pocatello, ID 83201-4520

Mailing address

5330 Stuart Ave
Chubbuck, ID 83202-2262

Other practice locations

  • 465 Memorial Dr, Pocatello, ID 83201-4008 · (208) 234-4700

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNP-1210A (ID)

Family Nurse Practitioner: Definition to come...

11 other providers at this address

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About NPI 1134477870

Codie M. Robertson, FNP-C's National Provider Identifier is 1134477870, issued on Aug 28, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pocatello, ID. The record was last updated on Jan 29, 2024.