Individual
AMANDA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2680 CHANNING WAY, IDAHO FALLS, ID 83404-7517
(208) 523-7667
(208) 523-7668
Mailing address
2680 CHANNING WAY, IDAHO FALLS, ID 83404-7517
(208) 523-7667
(208) 523-7668
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
57479
ID
Other
Enumeration date
09/30/2015
Last updated
02/27/2024
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