Provider Demographics
NPI:1194275693
Name:SCIARRINO, JOSLYN (FNP-C)
Entity type:Individual
Prefix:
First Name:JOSLYN
Middle Name:
Last Name:SCIARRINO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:JOSLYN
Other - Middle Name:
Other - Last Name:DRESSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:408 S EAGLE RD STE 205
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:ID
Mailing Address - Zip Code:83616-6079
Mailing Address - Country:US
Mailing Address - Phone:208-244-0534
Mailing Address - Fax:984-355-0375
Practice Address - Street 1:408 S EAGLE RD STE 205
Practice Address - Street 2:
Practice Address - City:EAGLE
Practice Address - State:ID
Practice Address - Zip Code:83616-6079
Practice Address - Country:US
Practice Address - Phone:208-244-0534
Practice Address - Fax:984-355-0375
Is Sole Proprietor?:No
Enumeration Date:2016-10-07
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID54857363LF0000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program