Individual
AMANDA L FIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
700 W IRONWOOD DR STE 375, COEUR D ALENE, ID 83814-4401
(208) 625-6100
(208) 625-6101
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5085
(208) 625-5731
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA538
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8414518
—
WA
Enumeration date
08/17/2005
Last updated
10/06/2020
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