Individual
MS. AMANDA KATHLEEN SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5200
(208) 625-5201
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2151
ID
363AM0700X
Medical Physician Assistant
PA-2151
ID
363AS0400X
Surgical Physician Assistant
PA-2151
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811651961
—
ID
Enumeration date
10/25/2021
Last updated
12/18/2025
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