Organization
GLASS HALF FULL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA STEWART PMHNP-BC (OWNER AND CLINICIAN)
(208) 900-5946
Entity
Organization
Contact information
Practice address
1199 W SHORELINE LN STE 280, BOISE, ID 83702-9102
(208) 593-3263
(208) 957-7437
Mailing address
1199 W SHORELINE LN STE 280, BOISE, ID 83702-9102
(208) 593-3263
(208) 957-7437
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/05/2025
Last updated
07/05/2025
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