IndividualActive
Colette Egbert, FNP-C
NPI 1649774860 · Pediatric Nurse Practitioner · Idaho Falls, ID
Provider details
- NPI number
- 1649774860
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 58152 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3320 S 25th E
Idaho Falls, ID 83404-4606
Phone: (208) 656-1500
Approximate (ZIP-level) locationGet directions
Mailing address
2908 N Azure Dr
Idaho Falls, ID 83401-5065
Registry dates
- Enumerated
- 2018-03-21
- Last updated
- 2018-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.