Individual provider · Type 1 NPI

Tyson Smithersen, FNP

Family Nurse Practitioner · Idaho Falls, ID

NPI number 1679233134 Active

Practice location

3200 Channing Way Ste 206
Idaho Falls, ID 83404-7546

Fax (208) 561-8061

Other practice locations

  • 1763 W Lunford Ln, Riverton, UT 84065-7451 · (208) 680-8408
  • 2801 N Thanksgiving Way Ste 220, Lehi, UT 84043-5492 · (801) 477-6161

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X10808238-4405 (UT)
Family Nurse Practitioner Primary 363LF0000X2361278 (ID)

Family Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1679233134

Tyson Smithersen, FNP's National Provider Identifier is 1679233134, issued on Dec 26, 2021. 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 Jan 15, 2025.