Individual
LINDSEY RAE WENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
305 E JEFFERSON ST, BOISE, ID 83712-6231
(208) 381-7011
(208) 381-9013
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
0997212
CO
363LP0200X
Pediatric Nurse Practitioner
Primary
3771451
ID
363LP0200X
Pediatric Nurse Practitioner
APN.0997212-NP
CO
Other
Enumeration date
01/13/2022
Last updated
10/29/2025
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