Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK MITCHELL ROUBIDOUX II, NP-C
Active Sole ProprietorMR. MARK MITCHELL ROUBIDOUX II, NP-C is a Nurse Practitioner healthcare provider located in LEWISTON, Idaho. NPI 1629685235 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · LEWISTON, ID
Registration Details
- NPI Number
- 1629685235
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2020 (5.8769365204392 yrs)
- Last Updated
- Sep 12, 2025
- License
-
39235 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
336 WARNER DR STE 4ALEWISTON, ID, 835014441Browse ID providers · Browse ZIP 83501
- Phone
- 2083053537
- Fax
- 8773764040
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in LEWISTON, ID
| Name | Credential | NPI |
|---|---|---|
| JENNIFER C CREASER | ARNP | 1588772461 |
| CHERYL A LOETSCHER | NP | 1689766834 |
| MS. LINDA K DEWITT | ARNP | 1356422562 |
| THAD GIBLETTE | FNP | 1699819292 |
| GENI L EVANS | NP | 1659695047 |
| ERIK F COOPER | CNP | 1275893968 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.