ALEXIS R SIDDOWAY

IDAHO FALLS, ID
NPI1013352285
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: ID  NP1309A)
Additional Taxonomies163W00000X Registered Nurse
(Licence: ID  N37740)
Enumeration Date2013-05-01
Last Update Date2013-10-26
Business Address
-- ALEXIS R SIDDOWAY NP
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-535-4432
Mailing Address
-- ALEXIS R SIDDOWAY NP
2860 SUNLIGHT DR
IDAHO FALLS, ID 83401-4807
Phone number: 208-681-7399