Individual provider · Type 1 NPI

Andrew Connaway

Nurse Practitioner · Coeur D Alene, ID

NPI number 1689582017 Active

Practice location

1090 W Park Pl
Coeur D Alene, ID 83814-2785

Call (208) 620-5250 Map

Mailing address

PO Box 2729
Coeur D Alene, ID 83816-2729

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	5981418 (ID)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1689582017

Andrew Connaway's National Provider Identifier is 1689582017, issued on Aug 28, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Aug 28, 2026.