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 →
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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.

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