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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LYNNETTE MICHELLE KHANDAKER, APRN-NP

Active Sole Proprietor

MRS. LYNNETTE MICHELLE KHANDAKER, APRN-NP is a Primary Care Nurse Practitioner healthcare provider located in BOISE, Idaho. NPI 1396292421 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · BOISE, ID

Registration Details

NPI Number
1396292421
Provider Type
Individual
Gender
Female
NPI Issued
Sep 7, 2016 (9.9064017630601 yrs)
Last Updated
Jul 16, 2021
Licenses
RN201537 (AZ)
NP60046 (ID)
60046 (ID)
60046 (ID)
60046 (ID)
Sole Proprietor
Yes

Practice Information

Address
10112 W OVERLAND RD
BOISE, ID, 837091428
Browse ID providers · Browse ZIP 83709
Phone
0878039002
Fax
2083752882
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X
Additional Specialty
Nurse Practitioner

Other Primary Care Nurse Practitioner Providers in BOISE, ID

Name Credential NPI
JANET L WOOD NP 1467420588
MELANIE ANN NASH NP-C 1073522082
MS. NANCY ELIZABETH WITMAN FNP, MSN 1689785172
JULIA MAHAFFEY NP 1659476166
KELSEY HAMILTON SMITH NP 1427307115
JESSICA LYNN BUTTERFIELD FNP-C 1730432352
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.