Khandaker, Lynnette Michelle
Khandaker, Lynnette Michelle is an sole proprietor health care provider with primary practice located at 10112 W Overland Rd , Boise ID 83709-1428. She recently has 5 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Khandaker, Lynnette Michelle can be contacted via phone (087) 803-9002.Contact Information
Primary practice address
10112 W Overland Rd
Boise ID 83709-1428
Phone: (087) 803-9002
Fax: (208) 375-2882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | RN201537 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP60046 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 60046 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 60046 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 60046 | Idaho |
Profile Details
| NPI number | 1396292421 |
|---|---|
| LBN Legal business name | Khandaker, Lynnette Michelle |
| Credentials | APRN-NP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2016 |
| Last updated | Jul 16th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396292421 | NPPES |
| Idaho | MEDICAID | 1477920270 |
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