Individual
AMANDA DUPLISEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(801) 662-8540
Mailing address
6029 N HAMPSTEAD AVE, BOISE, ID 83714-2032
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77027
ID
Other
Enumeration date
08/17/2023
Last updated
09/07/2024
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