Individual provider · Type 1 NPI

Lyda Erin Nicodemus, ARNP

Nurse Practitioner · Spokane, WA

NPI number 1376168336 Active

Practice location

9631 N Nevada St Ste 300
Spokane, WA 99218-1193

Fax (509) 795-0895

Mailing address

601 S Sherman St # 201
Spokane, WA 99202-1311

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP61025822 (WA)

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 1376168336

Lyda Erin Nicodemus, ARNP's National Provider Identifier is 1376168336, issued on Jun 15, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Spokane, WA. The record was last updated on Sep 14, 2021.