Individual
DAVID CRAIG SJOSTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
124 5TH ST, WILDER, ID 83676-5540
(208) 482-7430
(208) 585-6221
Mailing address
PO BOX 277976, ATLANTA, GA 30384-7976
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N-44357
ID
363LF0000X
Family Nurse Practitioner
Primary
55373
ID
Other
Enumeration date
02/22/2017
Last updated
07/21/2022
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