ALEXIS R SIDDOWAY NP NPI 1013352285

NPI Information

NPI: 1013352285
Provider Name: ALEXIS R SIDDOWAY, NP
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

Address:
3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 535-4432
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Alexis R Siddoway, NP is a neonatal nurse practitioner in Idaho Falls, ID. Alexis R Siddoway, NP NPI is 1013352285. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3100 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404-533
Phone: (208) 535-4432

The enumeration date for this NPI number is 5/1/2013 and was last updated on 10/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		N37740	IDAHO	No
2	363LN0000X	Nurse Practitioner	Neonatal	NP1309A	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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