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NPI Code Detail

MEDICARE: MRS. ESTHER HENTER AGNP-C

MEDICARE: MRS. ESTHER HENTER AGNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SG0600XGerontology Clinical Nurse SpecialistAP61371994WA
2363LG0600XGerontology Nurse Practitioner74463NPID

General Provider Information

NPI Number : 1619611415
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ESTHER HENTER AGNP-C
Provider Business Mailing Address
First Line : 415 6TH ST
Second Line :
City : LEWISTON
State : ID
Zip : 83501-2434
Country : US
Telephone Number : 208-750-7462
Fax Number : 208-750-7467
Provider Business Practice Location Address
First Line : 415 6TH ST
Second Line :
City : LEWISTON
State : ID
Zip : 83501-2431
Country : US
Telephone Number : 208-799-5540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2022
Last Update Date : 02/20/2026

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