Provider Demographics
NPI:1083506323
Name:HEWETT, LYNZEE BROOKE (WHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:LYNZEE
Middle Name:BROOKE
Last Name:HEWETT
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2324 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ID
Mailing Address - Zip Code:83501-3437
Mailing Address - Country:US
Mailing Address - Phone:208-503-2326
Mailing Address - Fax:
Practice Address - Street 1:77 SOUTHWAY AVE STE C
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ID
Practice Address - Zip Code:83501-2203
Practice Address - Country:US
Practice Address - Phone:208-503-2326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID8871266363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health