Provider Demographics
NPI:1700661709
Name:STRYHAS, LINDSAY ALLISON
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ALLISON
Last Name:STRYHAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 CRANE HILL RD
Mailing Address - Street 2:
Mailing Address - City:KOOSKIA
Mailing Address - State:ID
Mailing Address - Zip Code:83539-5155
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:274 CRANE HILL RD
Practice Address - Street 2:
Practice Address - City:KOOSKIA
Practice Address - State:ID
Practice Address - Zip Code:83539-5155
Practice Address - Country:US
Practice Address - Phone:208-503-2486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-28
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID71048163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse