Individual
NICOLE L. AMIDEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 W. FORT ST., CLC, BOISE, ID 83702
(208) 422-1000
(208) 422-1319
Mailing address
500 W. FORT ST., CLC, BOISE, ID 83702
(208) 422-1000
(208) 422-1319
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-545
ID
363A00000X
Physician Assistant
PA545
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807269700
—
ID
Enumeration date
06/26/2006
Last updated
03/23/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us