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General NPI Number Information
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NPI Number | 1083506323
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Entity Type | Individual
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Provider Name | LYNZEE BROOKE HEWETT WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 77 SOUTHWAY AVE STE C
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City | LEWISTON
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State | ID
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Zip | 83501-2203
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Country | US
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Telephone | 208-503-2326
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Fax |
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Provider Business Mailing Address
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Address Line | 2324 SUNSET DR
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City | LEWISTON
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State | ID
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Zip | 83501-3437
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Country | US
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Telephone | 208-503-2326
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 8871266
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License Number State | ID
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