NPI 1073062295

Spencer Godfrey

Practitioner Nurse Practitioner Lewiston, ID

Practice location

Address: 1203 Idaho St, Lewiston, ID 83501-1940
Phone: (208) 848-8300
Mailing address: 611 N Iron Bridge Way, Spokane, WA 99202-4932

Registered specialties (2)

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 62319 (ID)

Other Nurse Practitioner providers in Idaho →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence AP60693813 (WA)

Registry record

NPI: 1073062295
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Sep 2016
Record last updated: 13 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.