person
Robert Gerard Idzakovich, FNP
Family Nurse Practitioner in Portsmouth, Ohio
NPI 1275994048

Robert Gerard Idzakovich is a Family Nurse Practitioner based in Portsmouth, OH and is specialized in Family. Robert Gerard Idzakovich practices in Portsmouth, OH and has the professional credentials of FNP. The NPI Number for Robert Gerard Idzakovich is 1275994048 and holds a License No. RN391062 (Ohio).

The current practice location address for Robert Gerard Idzakovich is 2511 Grandview Ave, Portsmouth, OH and can be reached out via phone at 740-464-8125.

Location: 2511 Grandview Ave, Portsmouth, OH, 45662-2770
person
Provider Profile Details
NPI Number
1275994048
Provider Name
Robert Gerard Idzakovich
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
2511 Grandview Ave, Portsmouth, OH, 45662-2770
Phone Number
740-464-8125
Fax Number
Provider Enumeration Date
03/08/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2511 Grandview Ave
City
State
Zip
45662-2770
Phone Number
740-464-8125
Fax Number
person
Provider Business Mailing Address Details
Address
2511 Grandview Ave
City
State
Zip
45662-2770
Phone Number
740-464-8125
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN391062 (Ohio)
Definition
Definition to come...
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