SearchIdahoFamily Nurse Practitioner

Dimitri Shchadenko, FNP

NPI 1104489343 · on the registry since 2019 · sole proprietor

Practice

Address
2065 E 17th St Ste A
Idaho Falls, ID 83404
Phone
(800) 640-3451
Organisation at this address
Gene K Hodges Md
Gene K. Hodges M.D.
Boyd L Hammond Md Pa
Daniel K Hinckley Md Pa
Julian Debruynkops Md Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Additional practice sites

  • 1000 N Curtis Rd Ste 105, Boise, ID

Registry record

Primary taxonomy
Family Nurse Practitioner
363LF0000X
Also registered as
Family Nurse Practitioner
Licence states on file
CA, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho