IndividualActive
Karissa Thueson, NNP
NPI 1396352142 · Neonatal Nurse Practitioner · Rexburg, ID
Provider details
- NPI number
- 1396352142
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NNP
- Sex
- Female
- Sole proprietor
- No
- License
- 65959 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
450 E Main St
Rexburg, ID 83440-2048
Phone: (208) 359-6900
Approximate (ZIP-level) locationGet directions
Mailing address
301 N 3811 E
Rigby, ID 83442-5186
Registry dates
- Enumerated
- 2020-09-25
- Last updated
- 2020-09-25
- Certified
- 2020-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.