SearchIdaho2279G1100X

Alexandra Johnston

NPI 1912887647 · on the registry since 2025 · sole proprietor

Practice

Address
486 11th St
Idaho Falls, ID 83404
Phone
(208) 715-4686
Clinicians at this address
2

Registry record

Primary taxonomy
2279G1100X
2279G1100X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-04

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