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Mrs. Lisa Renee Henderson, AGNP-C
Nurse Practitioner in Lewiston, Idaho
NPI 1912419243

Lisa Renee Henderson is a Nurse Practitioner based in Lewiston, ID. Lisa Renee Henderson practices in Lewiston, ID and has the professional credentials of AGNP-C. The NPI Number for Lisa Renee Henderson is 1912419243 and holds a License No. 57109 (Idaho).

The current practice location address for Lisa Renee Henderson is 415 Sixth St., Lewiston, ID and can be reached out via phone at 208-750-7507 and via fax at 208-750-7384.

Location: 415 Sixth St., Lewiston, ID, 83501-2431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912419243
Provider Name
Lisa Renee Henderson
Credential
AGNP-C
Provider Entity Type
Individual
Gender
Female
Address
415 Sixth St., Lewiston, ID, 83501-2431
Phone Number
208-750-7507
Fax Number
208-750-7384
Provider Enumeration Date
10/26/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
415 Sixth St.
City
Lewiston
State
Idaho
Zip
83501-4255
Phone Number
208-750-7507
Fax Number
208-750-7384
person
Provider Business Mailing Address Details
Address
415 Sixth St.
City
Lewiston
State
Idaho
Zip
83501-4255
Phone Number
208-750-7507
Fax Number
208-750-7384
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
57109 (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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