David Craig Sjostrand, NP-C | |
124 5th St, Wilder, ID 83676-5540 | |
(208) 482-7430 | |
(208) 585-6221 |
Full Name | David Craig Sjostrand |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 124 5th St, Wilder, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053850164 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | N-44357 (Idaho) | Secondary |
363LF0000X | Nurse Practitioner - Family | 55373 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Idaho Health Partners Llc | 5395063564 | 70 |
Entity Name | Southern Idaho Health Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952701401 PECOS PAC ID: 5395063564 Enrollment ID: O20150420000863 |
Mailing Address | Practice Location Address |
---|---|
David Craig Sjostrand, NP-C Po Box 277976, Atlanta, GA 30384-7976 Ph: () - | David Craig Sjostrand, NP-C 124 5th St, Wilder, ID 83676-5540 Ph: (208) 482-7430 |
Shaina Leeann Lonai, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 124 5th St, Wilder, ID 83676 Phone: 208-482-7430 | |
Rebecca Lee Guy, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 5th St Ste A, Wilder, ID 83676 Phone: 208-482-7430 Fax: 208-482-7272 | |
Shauna Rankin, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27591 Petolla Rd, Wilder, ID 83676 Phone: 208-375-8427 |