Individual
LINDSAY ROSE WIENAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3525 E LOUISE DR STE 500, MERIDIAN, ID 83642-6305
(208) 706-7050
Mailing address
215 E HAWAII AVE, NAMPA, ID 83686-6011
(208) 463-3244
(208) 463-3388
Taxonomy
Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
47331
ID
363L00000X
Nurse Practitioner
Primary
63159
ID
Other
Enumeration date
04/05/2018
Last updated
07/22/2021
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