IndividualActive
Alexis Siddoway, NP
NPI 1013352285 · Neonatal Nurse Practitioner · Idaho Falls, ID
Provider details
- NPI number
- 1013352285
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- N37740 (ID)
Mailing address
2860 Sunlight Dr
Idaho Falls, ID 83401-4807
Registry dates
- Enumerated
- 2013-05-01
- Last updated
- 2013-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.