IndividualActive
Adam Gault, DNP, FNP-C
NPI 1700365178 · Family Nurse Practitioner · Pocatello, ID
Provider details
- NPI number
- 1700365178
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, FNP-C
- Sex
- Male
- Sole proprietor
- No
- License
- 59581 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
500 S 11th Ave
Pocatello, ID 83201-4835
Phone: (208) 232-6214
Approximate (ZIP-level) locationGet directions
Mailing address
500 S 11th Ave
Pocatello, ID 83201-4835
Registry dates
- Enumerated
- 2018-08-07
- Last updated
- 2018-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.