Alexis R Siddoway, NP
NPI #1013352285 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1013352285
- Entity Type
- Individual
- Name
- Alexis R Siddoway, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Neonatal
- Credential
- NP
- Enumeration Date
- May 1, 2013
- Last Updated
- Oct 26, 2013
Practice Location
- Address
- 3100 CHANNING WAY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7533
- Phone
- (208) 535-4432
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Neonatal — Neonatal |
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