Tiana Jespersen Nizamic, MD

NPI 1891182911 · on the registry since 2015

Practice

Address: 700 W Ironwood Dr Ste 375
Coeur D Alene, ID 83814
Phone: (208) 625-6100
Fax: (208) 625-6101
Organisation at this address: Element Dental Pllc
Ideal Family Dental
Kootenai Health, Inc.
Kootenai Health, Inc.
Interlake Pharmacy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 191

Registry record

Primary taxonomy: 207RN0300X
207RN0300X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-05-01

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