Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AARON DYKSTRA, NP
Active Sole ProprietorAARON DYKSTRA, NP is a Pediatric Nurse Practitioner healthcare provider located in EAGLE, Idaho. NPI 1841691003 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · EAGLE, ID
Registration Details
- NPI Number
- 1841691003
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 8, 2014 (11.747637128232 yrs)
- Last Updated
- Jan 19, 2023
- Licenses
-
201703051 (OR)55392 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 COTTONWOOD CT STE 150EAGLE, ID, 836166550Browse ID providers · Browse ZIP 83616
- Phone
- 2082605431
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Pediatric Nurse Practitioner
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.