| Mrs Lisa Renee Henderson, AGNP-C | |
|
415 Sixth St., Cardiology Department, Lewiston, ID 83501-4255 | |
| (208) 750-7507 | |
| (208) 750-7384 |
| Full Name | Mrs Lisa Renee Henderson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 415 Sixth St., Lewiston, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912419243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 57109 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Finding Home Healthcare, Inc. | 7517248537 | 15 |
| Ppm Washington Llc | 0941697569 | 3 |
| Entity Name | Finding Home Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609327022 PECOS PAC ID: 7517248537 Enrollment ID: O20170106000679 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa Renee Henderson, AGNP-C 415 6th St, Lewiston, ID 83501-2431 Ph: (208) 750-7445 | Mrs Lisa Renee Henderson, AGNP-C 415 Sixth St., Cardiology Department, Lewiston, ID 83501-4255 Ph: (208) 750-7507 |
Mrs. Nicole M Engledow, ARPN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 8th Ave, Lewiston, ID 83501 Phone: 208-792-2685 Fax: 208-792-2882 | |
Susan P Stutzman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 10th St, Lewiston, ID 83501 Phone: 208-799-3100 Fax: 208-799-0349 | |
Anita Ringering, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 336 Warner Dr, Ste 4, Lewiston, ID 83501 Phone: 208-413-3835 | |
Spencer Godfrey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 | |
Tracy Streibick Flynn, FNP, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 | |
Mrs. Lynzee Brooke Hewett, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 77 Southway Ave Ste C, Lewiston, ID 83501 Phone: 208-503-2326 | |
Tayler Lyndsey Holman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3428 5th St, Lewiston, ID 83501 Phone: 509-552-6674 |