| Connor Rezzonico, PMHNP | |
|
3700 W Seltice Way, Coeur D Alene, ID 83814-8921 | |
| (208) 620-5250 | |
| Not Available |
| Full Name | Connor Rezzonico |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 3700 W Seltice Way, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063184968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 40375 (Wyoming) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 74368 (Idaho) | Primary |
| Entity Name | Dirne Health Centers, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285686477 PECOS PAC ID: 2466353354 Enrollment ID: O20050303001041 |
| Entity Name | Resolutions Health Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972308450 PECOS PAC ID: 3577080613 Enrollment ID: O20250512002263 |
| Mailing Address | Practice Location Address |
|---|---|
| Connor Rezzonico, PMHNP Po Box 1387, Hayden, ID 83835-1387 Ph: (208) 620-5250 | Connor Rezzonico, PMHNP 3700 W Seltice Way, Coeur D Alene, ID 83814-8921 Ph: (208) 620-5250 |
Deborah Magnuson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1090 W Park Pl, Coeur D Alene, ID 83814 Phone: 208-215-2005 Fax: 844-807-3782 | |
Ms. Jayne S Shoda, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1983 E Lookout Dr, Coeur D Alene, ID 83815 Phone: 208-964-0701 | |
Mary Sandra Duff, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 W Ironwood Dr, Coeur D Alene, ID 83814 Phone: 208-667-4557 Fax: 208-765-2887 | |
Sydney Elizabeth Disselkamp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 378, Coeur D Alene, ID 83814 Phone: 208-625-3555 Fax: 208-769-8616 | |
Ms. Kristina Marie Follger, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 980 W Ironwood Dr Ste 302, Coeur D Alene, ID 83814 Phone: 208-292-5437 Fax: 208-292-5441 | |
Jared Edward Bruder, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1110 W Park Pl Ste 320, Coeur D Alene, ID 83814 Phone: 208-261-2255 | |
Robin Marie Beard, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 120, Coeur D Alene, ID 83814 Phone: 208-625-3640 Fax: 208-625-3645 |