AMANDA JO PRESTIGIACOMO

TWIN FALLS, ID
NPI1043747579
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  55632)
Enumeration Date2017-05-15
Last Update Date2021-04-08
Business Address
Mrs. AMANDA JO PRESTIGIACOMO FNP-C
350 N HAVEN DR
TWIN FALLS, ID 83301-5788
Phone number: 208-904-4780
Mailing Address
Mrs. AMANDA JO PRESTIGIACOMO FNP-C
PO BOX 268934
OKLAHOMA CITY, OK 73126-8934
Phone number: 208-904-4780