Individual
MRS. DELLISA DAWN EDDINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6000 S 5TH AVE, POCATELLO, ID 83204-5075
(208) 478-8400
(208) 232-6018
Mailing address
6000 S 5TH AVE, POCATELLO, ID 83204-5075
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60010
ID
Other
Enumeration date
12/08/2018
Last updated
12/08/2018
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