Individual provider · Type 1 NPI
Aaron Dykstra, NP
Pediatric Nurse Practitioner · Eagle, ID
NPI number
1841691003
Active
Practice location
100 Cottonwood Ct Ste 150
Eagle, ID 83616-6550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201703051 (OR) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 55392 (ID) |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1841691003
Aaron Dykstra, NP's National Provider Identifier is 1841691003, issued on Sep 8, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Eagle, ID. The record was last updated on Jan 19, 2023.