Individual
LYNETTE JOY AGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1818 S 10TH AVE STE 200, CALDWELL, ID 83605-4880
(208) 453-6417
(208) 453-6419
Mailing address
6140 W CURTISIAN AVE STE 400, BOISE, ID 83704-8907
(208) 327-5600
(208) 327-5602
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
56600
ID
Other
Enumeration date
08/11/2017
Last updated
02/23/2021
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