Alexis R Siddoway
Nurse Practitioner - Neonatal
3100 Channing Way
Idaho Falls
, Idaho 83404-7533
Alexis R Siddoway
Nurse Practitioner - Neonatal
3100 Channing Way
Idaho Falls
, Idaho 83404-7533
(208) 681-7399
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Alexis R Siddoway
- 2860 Sunlight Dr
- Idaho Falls, ID
- Zip : 83401-4807
- Phone : (208) 681-7399
Second Address
- Alexis R Siddoway
- 3100 Channing Way
- Idaho Falls, ID
- Zip : 83404-7533
- Phone : (208) 535-4432
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | NP1309A | ID |
National Provider Identifier
| NPI | 1013352285 |
|---|---|
| Provider Name | Alexis R Siddoway |
| First Address | Idaho Falls, ID 83401-4807 |
| Second Address | Idaho Falls, ID 83404-7533 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2013 |
| Last Update Date | 26/10/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.