AMANDA PETERSEN

TWIN FALLS, ID
NPI1689163222
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  58323)
Enumeration Date2018-05-09
Last Update Date2018-05-09
Business Address
AMANDA PETERSEN FNP-BC, RN
775 POLE LINE RD W STE 113
TWIN FALLS, ID 83301-5819
Phone number: 208-814-8292
Mailing Address
AMANDA PETERSEN FNP-BC, RN
775 POLE LINE RD W STE 113
TWIN FALLS, ID 83301-5819
Phone number: 208-814-8292