Individual provider · Type 1 NPI

Dellisa Dawn Eddington, NP-C

Family Nurse Practitioner · Pocatello, ID

NPI number 1356812945 Active

Practice location

6000 S 5th Ave
Pocatello, ID 83204-5075

Call (208) 478-8400 Map

Fax (208) 232-6018

Other practice locations

  • 1441 Parkway Dr, Blackfoot, ID 83221-1667 · (208) 785-2600

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X60010 (ID)

Family Nurse Practitioner: Definition to come...

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About NPI 1356812945

Dellisa Dawn Eddington, NP-C's National Provider Identifier is 1356812945, issued on Dec 8, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pocatello, ID. The record was last updated on Dec 8, 2018.