Healthcare Provider Details

I. General information

NPI: 1700661709
Provider Name (Legal Business Name): LINDSAY ALLISON STRYHAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2023
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 6TH ST
LEWISTON ID
83501-2431
US

IV. Provider business mailing address

415 6TH ST
LEWISTON ID
83501-2431
US

V. Phone/Fax

Practice location:
  • Phone: 208-799-6655
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number7771496
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number71048
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: