Individual
LYNN-MARIE MORGAN PEASHKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
428 6TH AVE, LEWISTON, ID 83501-2355
(208) 799-6500
(208) 799-6504
Mailing address
428 6TH AVE, LEWISTON, ID 83501-2355
(208) 799-6500
(208) 799-6504
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP3000-7028
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP-780
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9650722
—
WA
Enumeration date
07/25/2006
Last updated
04/04/2012
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