Rezzonico, Connor

Rezzonico, Connor is an individual health care provider with primary practice located at 1038 Northwest Blvd , Coeur D Alene ID 83814-2249. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Rezzonico, Connor can be contacted via phone (208) 620-5210.

Contact Information

Primary practice address
1038 Northwest Blvd Coeur D Alene ID 83814-2249
Phone: (208) 620-5210
Fax: (844) 803-7399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 40375 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 74368 Idaho

Profile Details

NPI number 1063184968
LBN Legal business name Rezzonico, Connor
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2021
Last updated Oct 31st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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