IndividualActive
Tiana Jespersen Nizamic, MD
NPI 1891182911 · Nephrology Physician · Coeur D Alene, ID
Provider details
- NPI number
- 1891182911
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- M-15908 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
700 W Ironwood Dr Ste 375
Coeur D Alene, ID 83814-4401
Phone: (208) 625-6100
Fax: (208) 625-6101
Approximate (ZIP-level) locationGet directions
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Registry dates
- Enumerated
- 2015-04-16
- Last updated
- 2024-05-01
- Certified
- 2024-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.