P Praxis·MD
● Active Type 1 · Individual

Connor Rezzonico, PMHNP

Nurse Practitioner·Coeur D Alene, ID· NPI 1063184968 · Enumerated 2021 · 4 years on NPI
Rezzonico is 1 of 38 nurse practitioner providers in Coeur D Alene and 1 of 374 in Idaho.
NPI age
4 years
Enumerated 2021-09-29
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-10-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 374 active nurse practitioner providers in Idaho.

NPI age
4 years
≈ at median (4 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-09Enumerated in NPPES
2021 2026

Where they practice

Practice location
1110 W Park Pl Ste 222
Coeur D Alene, ID 838142784
📞 2086257695fax 9498643567
Mailing address
1110 W Park Pl Ste 222
Coeur D Alene, ID 838142784
📞 2086257695fax 9498643597

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #74368WA license #AP70005328 taxonomy 363LP0808X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 3 new nurse practitioner providers have been added in Coeur D Alene in the last 180 days. See all →
Provyx · Custom healthcare lists

Need all 374 Nurse Practitioner providers in Idaho?

Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related