Individual
AMBER WOOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
90 HOPE DR STE 6000, MOUNTAIN HOME, ID 83648
(208) 828-7951
Mailing address
90 HOPE DR STE 6000, MOUNTAIN HOME, ID 83648
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
TX
1710I1003X
Independent Duty Medical Technicians
—
—
Other
Enumeration date
06/10/2014
Last updated
09/04/2025
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