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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TYSON SMITHERSEN, FNP

Active

TYSON SMITHERSEN, FNP is a Family Nurse Practitioner healthcare provider located in IDAHO FALLS, Idaho. NPI 1679233134 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · IDAHO FALLS, ID

Registration Details

NPI Number
1679233134
Provider Type
Individual
Gender
Male
NPI Issued
Dec 26, 2021 (4.6532786975037 yrs)
Last Updated
Jan 15, 2025
Licenses
10808238-4405 (UT)
2361278 (ID)

Practice Information

Address
3200 CHANNING WAY STE 206
IDAHO FALLS, ID, 834047546
Browse ID providers · Browse ZIP 83404
Phone
2085292230
Fax
2085618061
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in IDAHO FALLS, ID

Name Credential NPI
MS. JANET LOUISE CORSON STANTON R.N.,FNP-C 1841269537
JONATHAN WILLIAM ROZACK FNP-C 1255429288
LAURA J MASON NP 1902980469
AMBER D MASSE NP 1235208687
DR. CATHY RUTH ARVIDSON FNP 1134295470
KIM SCHULTZ REMIEN NP 1881761294
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.