| Lucas Paul Donaldson, | |
|
8796 W Tillamook Dr, Boise, ID 83709-5876 | |
| (208) 861-5609 | |
| Not Available |
| Full Name | Lucas Paul Donaldson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 8796 W Tillamook Dr, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487230983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP1700X | Registered Nurse - Perinatal | 56025 (Idaho) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 56025 (Idaho) | Primary |
| Entity Name | Shoshone-paiute Tribes |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528230224 PECOS PAC ID: 5092871889 Enrollment ID: O20100812000813 |
| Mailing Address | Practice Location Address |
|---|---|
| Lucas Paul Donaldson, 8796 W Tillamook Dr, Boise, ID 83709-5876 Ph: (208) 861-5609 | Lucas Paul Donaldson, 8796 W Tillamook Dr, Boise, ID 83709-5876 Ph: (208) 861-5609 |
Nora M Suarez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 | |
Elizabeth Hingley, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 460 W Sandstone Ct, Boise, ID 83702 Phone: 662-889-0513 Fax: 863-228-8587 | |
Dr. Nancy Jane L'heureux, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6259 W Emerald St, Boise, ID 83704 Phone: 208-489-1900 Fax: 208-375-5286 | |
Jennifer Woodburn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-5015 | |
Carl Ciplinski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10583 W Lake Hazel Rd, Boise, ID 83709 Phone: 208-302-5950 | |
Kathryn Laura Cnossen, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8000 S Federal Way, Boise, ID 83716 Phone: 208-368-2109 | |
Mrs. Chelsea Rose Wallace, RN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9976 W Emerald St, Boise, ID 83704 Phone: 208-229-3742 |