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 | 7 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 |
Facility Name | Location | Facility Type |
---|---|---|
Elite Home Health | Clarkston, WA | Home health agency |
St Joseph Regional Medical Center | Lewiston, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Finding Home Healthcare, Inc. | 7517248537 | 8 |
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 |
Entity Name | St Joseph Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205368404 PECOS PAC ID: 8325325806 Enrollment ID: O20170606002496 |
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: Medicare Enrolled 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: Medicare Enrolled Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300 | |
Tayler Lyndsey Holman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3428 5th St, Lewiston, ID 83501 Phone: 509-552-6674 | |
Ms. Leslie Corrine Rogers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 428 6th Ave, Lewiston, ID 83501 Phone: 208-263-9757 Fax: 208-965-8128 |