Individual
AMANDA D KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
701 E PARKCENTER BLVD, BOISE, ID 83706-6528
(208) 381-6500
(208) 381-6505
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N-41966
ID
363L00000X
Nurse Practitioner
GNP26011A
ID
363L00000X
Nurse Practitioner
Primary
NP-1345A
ID
Other
Enumeration date
12/10/2011
Last updated
04/03/2026
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