IndividualActive
Connor Rezzonico, PMHNP
NPI 1063184968 · Psychiatric/Mental Health Nurse Practitioner · Coeur D Alene, ID
Provider details
- NPI number
- 1063184968
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Male
- Sole proprietor
- Yes
- License
- AP70005328 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1110 W Park Pl Ste 222
Coeur D Alene, ID 83814-2784
Phone: (208) 625-7695
Fax: (949) 864-3567
Approximate (ZIP-level) locationGet directions
Mailing address
1110 W Park Pl Ste 222
Coeur D Alene, ID 83814-2784
Additional practice locations (1)
- 2003 Kootenai Health WayCoeur D Alene, ID 83814-6051Phone: (208) 625-4870Fax: (208) 625-4878
Registry dates
- Enumerated
- 2021-09-29
- Last updated
- 2026-05-20
- Certified
- 2026-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.