Individual
AMBER D MASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
808 PANCHERI DRIVE, IDAHO FALLS, ID 83402-3344
(208) 552-6900
(208) 552-4973
Mailing address
2327 CORONADO STREET, IDAHO FALLS, ID 83404-7407
(208) 557-2900
(208) 557-2910
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP607A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806734800
—
ID
Enumeration date
11/07/2006
Last updated
01/14/2013
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