Siddoway, Alexis R

Siddoway, Alexis R is an individual health care provider with primary practice located at 3100 Channing Way , Idaho Falls ID 83404-7533. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Siddoway, Alexis R can be contacted via phone (208) 535-4432.

Contact Information

Primary practice address
3100 Channing Way Idaho Falls ID 83404-7533
Phone: (208) 535-4432
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X N37740 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X NP1309A Idaho

Profile Details

NPI number 1013352285
LBN Legal business name Siddoway, Alexis R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2013
Last updated Oct 26th, 2013 - about 11 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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