Individual provider · Type 1 NPI
Lisa Renee Henderson, AGNP-C
Nurse Practitioner · Lewiston, ID
Practice location
415 Sixth St., Cardiology Department
Lewiston, ID 83501-4255
Fax (208) 750-7384
Mailing address
415 6th St
Lewiston, ID 83501-2431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 57109 (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 1912419243
Lisa Renee Henderson, AGNP-C's National Provider Identifier is 1912419243, issued on Oct 26, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lewiston, ID. The record was last updated on Nov 14, 2019.