Individual
AMANDA J ALLAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1450 AVIATION DR, HAILEY, ID 83333-8785
(208) 727-8899
Mailing address
310 WILLOWAY RD, HAILEY, ID 83333-4970
(208) 309-0370
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1618A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012001190
ANCC
WI
Enumeration date
11/12/2012
Last updated
08/23/2024
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