DIMITRI SHCHADENKO

IDAHO FALLS, ID
NPI1104489343
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  67946)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: CA  95010927)
Enumeration Date2019-04-14
Last Update Date2025-07-15
Business Address
DIMITRI SHCHADENKO FNP
2065 E 17TH ST STE A
IDAHO FALLS, ID 83404-8042
Phone number: 800-640-3451
Mailing Address
DIMITRI SHCHADENKO FNP
2885 NW 10TH AVE
MERIDIAN, ID 83646-3159
Phone number: