LYNETTE JOY AGES NP
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1104341007- Provider Type
- Individual Provider (NPI-1)
- Credentials
- NP
- Status
- Active
Contact & Location
- Address
- 1818 S 10TH AVE STE 200, CALDWELL, ID, 836054880
- Phone
- (208) 453-6417
- Fax
- (208) 453-6419
Specialties & Taxonomies
Nurse Practitioner
Primary License: ID #56600