Unknown Individual – Family Nurse Practitioner, NPI 1316098403
Family Nurse Practitioner
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1522, 17th Street, Lewiston, Nez Perce County, Idaho, 83501, United States
LEWISTON, ID 835013652
Phone: (208) 743-8416
Fax: (208) 743-4642
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83501)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | ID | 83036 | Hemoglobin A1C level | 97 | 54 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| General Surgery | ID | |
| Physician Assistant | ID | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| Orthopedic Surgery | ID | |
| A N E S T H E S I O L O G Y | OR | |
| - | ID | |
| - | WA | |
| Certified Registered Nurse Anesthetist (Crna) | OR | |
| Interventional Pain Management, Anesthesiology | ID |
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