IndividualActive
Adam Packer, NP
NPI 1669858734 · Family Nurse Practitioner · Pocatello, ID
Provider details
- NPI number
- 1669858734
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- NP-1611A (ID)
Practice location
777 Hospital Way
Pocatello, ID 83201-5175
Phone: (208) 239-1029
Fax: (208) 239-3754
Mailing address
Po Box 4168
Pocatello, ID 83205-4168
Registry dates
- Enumerated
- 2015-07-30
- Last updated
- 2015-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.