| David Craig Sjostrand, NP-C | |
|
124 5th St, Wilder, ID 83676-5540 | |
| (208) 482-7430 | |
| (208) 585-6221 |
| Full Name | David Craig Sjostrand |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 124 5th St, Wilder, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053850164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | N-44357 (Idaho) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 55373 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Core Medicine Idaho Llc | 8921441163 | 4 |
| Entity Name | Southern Idaho Health Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952701401 PECOS PAC ID: 5395063564 Enrollment ID: O20150420000863 |
| Entity Name | Core Medicine Idaho Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043927882 PECOS PAC ID: 8921441163 Enrollment ID: O20240205003476 |
| Mailing Address | Practice Location Address |
|---|---|
| David Craig Sjostrand, NP-C Po Box 277976, Atlanta, GA 30384-7976 Ph: () - | David Craig Sjostrand, NP-C 124 5th St, Wilder, ID 83676-5540 Ph: (208) 482-7430 |
Shaina Leeann Lonai, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 5th St, Wilder, ID 83676 Phone: 208-482-7430 | |
Rebecca Lee Guy, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 5th St Ste A, Wilder, ID 83676 Phone: 208-482-7430 Fax: 208-482-7272 | |
Shauna Rankin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27591 Petolla Rd, Wilder, ID 83676 Phone: 208-375-8427 |