Individual
MS. AMANDA DEE ROBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
850 W IRONWOOD DR, # 500, COEUR D ALENE, ID 83814-4903
(208) 667-1376
(208) 292-0873
Mailing address
850 W IRONWOOD DR, # 500, COEUR D ALENE, ID 83814-4903
(208) 667-1376
(208) 292-0873
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
24686A
ID
363L00000X
Nurse Practitioner
60310022
WA
Other
Enumeration date
09/19/2012
Last updated
10/30/2014
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