Alexis R Siddoway is a Nurse Practitioner (Neonatal) in the IDAHO FALLS area. Alexis R Siddoway primary office location is at 3100 CHANNING WAY and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1013352285 and the information was updated approximately 11 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: NO
License Number | State |
---|---|
N37740 | ID |
NP1309A | ID |
Taxonomy | State | Primary? |
---|---|---|
Nurse Practitioner (Neonatal) - Taxonomy Code 363LN0000X | ID | Y |
Registered Nurse - Taxonomy Code 163W00000X | ID | N |