Individual
LYNDA J ARNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CWCN
Contact information
Practice address
296 W SUNSET AVE STE 14, COEUR D ALENE, ID 83815-8367
(208) 967-4771
(208) 683-8101
Mailing address
PO BOX 238, HAYDEN, ID 83835-0238
(208) 664-3301
(877) 653-2694
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-770A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807684700
—
ID
01
—
G000301387
MEDICARE GROUP
WA
01
—
P00390223
MEDICARE RAILROAD CARRIER
ID
Enumeration date
09/15/2006
Last updated
10/16/2019
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