Individual
AMY LYNNE DEMORDAUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
653 ROLLING HILLS DR, REXBURG, ID 83440-2539
(925) 222-1954
Mailing address
653 ROLLING HILLS DR, REXBURG, ID 83440-2539
(925) 222-1954
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
25554
ID
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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