Individual provider · Type 1 NPI

Spencer Godfrey

Nurse Practitioner · Lewiston, ID

NPI number 1073062295 Active

Practice location

1203 Idaho St
Lewiston, ID 83501-1940

Mailing address

611 N Iron Bridge Way
Spokane, WA 99202-4932

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAP60693813 (WA)
Nurse Practitioner Primary 363L00000X62319 (ID)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1073062295

Spencer Godfrey's National Provider Identifier is 1073062295, issued on Sep 28, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lewiston, ID. The record was last updated on Dec 13, 2021.