Individual
AMANDA LYNN WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
950S 1325E, ALBION, ID 83311
(208) 312-9740
(208) 678-0910
Mailing address
PO BOX 43, ALBION, ID 83311-0043
(208) 312-9740
(208) 678-0910
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1514A
ID
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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