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NPI Code Detail

MEDICARE: MRS. LINDSEY ALLENE STENSHOEL FNP, MSN, RN

MEDICARE: MRS. LINDSEY ALLENE STENSHOEL FNP, MSN, RN
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
1363LF0000XFamily Nurse PractitionerNP-1091AID

General Provider Information

NPI Number : 1902185168
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDSEY ALLENE STENSHOEL FNP, MSN, RN
Provider Business Mailing Address
First Line : 1276 W RIVER ST STE 100
Second Line :
City : BOISE
State : ID
Zip : 83702-7083
Country : US
Telephone Number : 208-338-4699
Fax Number :
Provider Business Practice Location Address
First Line : 1276 W RIVER ST STE 100
Second Line :
City : BOISE
State : ID
Zip : 83702-7083
Country : US
Telephone Number : 208-338-4699
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2011
Last Update Date : 08/05/2011

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