Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LISA RENEE HENDERSON, AGNP-C
ActiveMRS. LISA RENEE HENDERSON, AGNP-C is a Nurse Practitioner healthcare provider located in LEWISTON, Idaho. NPI 1912419243 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · LEWISTON, ID
Registration Details
- NPI Number
- 1912419243
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 26, 2017 (8.762261082869 yrs)
- Last Updated
- Nov 14, 2019
- License
-
57109 (ID)
Practice Information
- Address
-
415 SIXTH ST.CARDIOLOGY DEPARTMENTLEWISTON, ID, 835014255Browse ID providers · Browse ZIP 83501
- Phone
- 2087507507
- Fax
- 2087507384
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in LEWISTON, ID
| Name | Credential | NPI |
|---|---|---|
| JENNIFER C CREASER | ARNP | 1588772461 |
| CHERYL A LOETSCHER | NP | 1689766834 |
| MS. LINDA K DEWITT | ARNP | 1356422562 |
| THAD GIBLETTE | FNP | 1699819292 |
| GENI L EVANS | NP | 1659695047 |
| ERIK F COOPER | CNP | 1275893968 |
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.