Individual provider · Type 1 NPI
Darrick Adam Idso, DNP, AGPCNP-BC
Adult Health Nurse Practitioner · St. Paul, MN
NPI number
1316785249
Active
Practice location
225 Smith Ave N Ste 400
St. Paul, MN 55102-2568
Fax (651) 241-2758
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 11818 (MN) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 11818 (MN) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1316785249
Darrick Adam Idso, DNP, AGPCNP-BC's National Provider Identifier is 1316785249, issued on Jul 16, 2024. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Paul, MN. The record was last updated on Nov 4, 2024.