Individual
LINDSEY ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
PO BOX 1176, MERIDIAN, ID 83680-1176
(208) 321-5073
(208) 376-0269
Mailing address
PO BOX 1176, MERIDIAN, ID 83680-1176
(208) 321-5073
(208) 376-0269
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10001014
OR
363LF0000X
Family Nurse Practitioner
Primary
72027
ID
363LF0000X
Family Nurse Practitioner
APRN002049
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001014
LICENSE NUMBER
OR
05
—
72027
—
ID
05
—
APRN002049
—
NV
01
—
TAPRN701175
LICENSE NUMBER
NV
Enumeration date
06/18/2015
Last updated
04/11/2025
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