Organization
MYFAMILYDOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIMITRI SHCHADENKO (DNP, FNP-C/OWNER)
(650) 284-6595
Entity
Organization
Contact information
Practice address
1000 N CURTIS RD STE 105, BOISE, ID 83706-1345
(208) 202-7861
(833) 428-4627
Mailing address
2885 NW 10TH AVE, MERIDIAN, ID 83646-3159
(208) 202-7861
(833) 428-4627
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
03/23/2026
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