IndividualActive
Crystal Belcourt, CPNP-PC
NPI 1194226837 · Pediatric Nurse Practitioner · Caldwell, ID
Provider details
- NPI number
- 1194226837
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-PC
- Sex
- Female
- Sole proprietor
- No
- License
- 58461 (ID)
Practice location
1620 S Kimball Ave
Caldwell, ID 83605-4547
Phone: (208) 505-2950
Fax: (208) 505-2955
Mailing address
684 Franklin Ave
Kuna, ID 83634-2025
Registry dates
- Enumerated
- 2018-02-27
- Last updated
- 2018-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.