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Spencer Godfrey
Nurse Practitioner in Lewiston, Idaho
NPI 1073062295

Spencer Godfrey is a Nurse Practitioner based in Spokane, ID. Spencer Godfrey practices in Lewiston, ID. The NPI Number for Spencer Godfrey is 1073062295 and holds a License No. AP60693813 (Idaho).

The current practice location address for Spencer Godfrey is 1203 Idaho St, Lewiston, ID and can be reached out via phone at 208-848-8300.

Location: 1203 Idaho St, Lewiston, ID, 99202-4932
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073062295
Provider Name
Spencer Godfrey
Credential
Provider Entity Type
Individual
Gender
Male
Address
1203 Idaho St, Lewiston, ID, 99202-4932
Phone Number
208-848-8300
Fax Number
Provider Enumeration Date
09/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1203 Idaho St
City
Lewiston
State
Idaho
Zip
83501-1940
Phone Number
208-848-8300
Fax Number
person
Provider Business Mailing Address Details
Address
1203 Idaho St
City
Lewiston
State
Idaho
Zip
83501-1940
Phone Number
208-848-8300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
62319 (Idaho)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP60693813 (Washington)
Definition
Definition to come...
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