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Organization

EVOLVING MINDS MENTAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA MARIE TILLEMANS DNP, APRN, PMHNP-BC (PARTNER/PROVIDER)
(775) 247-7624
Entity
Organization

Contact information

Practice address
824 17TH AVE S STE 5, NAMPA, ID 83651-4781
(208) 918-2675
(208) 918-8627
Mailing address
824 17TH AVE S STE 5, NAMPA, ID 83651-4781
(208) 918-2675
(208) 918-8627

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1548830573
ID
Enumeration date
08/18/2023
Last updated
10/23/2025
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