Individual
CONNOR REZZONICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1110 W PARK PL STE 222, COEUR D ALENE, ID 83814-2784
(208) 625-7695
(949) 864-3567
Mailing address
1110 W PARK PL STE 222, COEUR D ALENE, ID 83814-2784
(208) 625-7695
(949) 864-3597
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
74368
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP70005328
WA
Other
Enumeration date
09/29/2021
Last updated
10/16/2025
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