DARRICK ADAM IDSO DNP AGPCNP-BC NPI 1316785249

NPI Information

  • NPI: 1316785249
  • Provider Name: DARRICK ADAM IDSO, DNP, AGPCNP-BC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 225 SMITH AVE N STE 400
    SAINT PAUL, MN
    ZIP 55102
  • Phone: (651) 290-0133

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NPI Details

Darrick Adam Idso, DNP, AGPCNP-BC is an adult health nurse practitioner in Saint Paul, MN with 1 years of experience. Darrick Adam Idso, DNP, AGPCNP-BC NPI is 1316785249. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

225 SMITH AVE N STE 400
SAINT PAUL, MN
ZIP 55102-568
Phone: (651) 290-0133
Fax: (651) 241-2758

The NPI 1316785249 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/16/2024 and was last updated on 11/4/2024.

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
1363LG0600XNurse PractitionerGerontology11818MINNESOTANo
2363LA2200XNurse PractitionerAdult Health11818MINNESOTAYes

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: 11/21/2025

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