IndividualActive
Aaron Clayson, AG-NP
NPI 1629814892 · Gerontology Nurse Practitioner · Chubbuck, ID
Provider details
- NPI number
- 1629814892
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AG-NP
- Sex
- Male
- Sole proprietor
- No
- License
- 2261477 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4511 Zebe Ave
Chubbuck, ID 83202-4707
Phone: (208) 904-4780
Approximate (ZIP-level) locationGet directions
Mailing address
4511 Zebe Ave
Chubbuck, ID 83202-4707
Registry dates
- Enumerated
- 2024-07-08
- Last updated
- 2024-08-21
- Certified
- 2024-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.