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Mrs. Lynnette Michelle Khandaker, APRN-NP
Primary Care Nurse Practitioner in Boise, Idaho
NPI 1396292421

Lynnette Michelle Khandaker is a Primary Care Nurse Practitioner based in Boise, ID and is specialized in Primary Care. Lynnette Michelle Khandaker practices in Boise, ID and has the professional credentials of APRN-NP. The NPI Number for Lynnette Michelle Khandaker is 1396292421 and holds a License No. RN201537 (Idaho).

The current practice location address for Lynnette Michelle Khandaker is 10112 W Overland Rd, Boise, ID and can be reached out via phone at 087-803-9002 and via fax at 208-375-2882.

Location: 10112 W Overland Rd, Boise, ID, 83709-1428
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Provider Profile Details
NPI Number
1396292421
Provider Name
Lynnette Michelle Khandaker
Credential
APRN-NP
Provider Entity Type
Individual
Gender
Female
Address
10112 W Overland Rd, Boise, ID, 83709-1428
Phone Number
087-803-9002
Fax Number
208-375-2882
Provider Enumeration Date
09/07/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1477920270 05 ID
institution
Provider Business Practice Location Address Details
Address
10112 W Overland Rd
City
State
Zip
83709-1428
Phone Number
087-803-9002
Fax Number
208-375-2882
person
Provider Business Mailing Address Details
Address
10112 W Overland Rd
City
State
Zip
83709-1428
Phone Number
087-803-9002
Fax Number
208-375-2882
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
License No.
60046 (Idaho)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
60046 (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.
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Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
60046 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
NP60046 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
RN201537 (Arizona)
Definition
Definition to come...
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