IndividualActive
Angela Johnston, NP-C
NPI 1508483173 · Family Nurse Practitioner · Idaho Falls, ID
Provider details
- NPI number
- 1508483173
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 65180 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2243 E 17th St
Idaho Falls, ID 83404-6519
Phone: (208) 851-2381
Approximate (ZIP-level) locationGet directions
Mailing address
422 Chesapeake Ave
Chubbuck, ID 83202-1674
Additional practice locations (1)
- 422 Chesapeake AveChubbuck, ID 83202-1674Phone: (208) 851-2381
Registry dates
- Enumerated
- 2020-06-30
- Last updated
- 2020-06-30
- Certified
- 2020-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.