Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IDAHO COUNTY DERMATOLOGY, PLLC
Active OrganizationIDAHO COUNTY DERMATOLOGY, PLLC is a Nurse Practitioner organization located in GRANGEVILLE, Idaho. NPI 1922835859 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · GRANGEVILLE, ID
Registration Details
- NPI Number
- 1922835859
- Provider Type
- Organization
- NPI Issued
- Sep 16, 2024 (1.7257195676125 yrs)
- Last Updated
- Feb 7, 2025
Practice Information
- Address
-
113 S A STGRANGEVILLE, ID, 835301428Browse ID providers · Browse ZIP 83530
- Phone
- 2086956668
- Primary Specialty
-
Nurse Practitioner
363L00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.