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AMANDA NICHOLE COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3547 E BERETTA AVE, IDAHO FALLS, ID 83401-6415
(208) 206-9549
Mailing address
3547 E BERETTA AVE, 3547 E BERETTA AVE # 83404, IDAHO FALLS, ID 83401-6415
(208) 206-9549

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
47964
ID

Other

Enumeration date
04/13/2026
Last updated
04/13/2026
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