Individual provider · Type 1 NPI

Amanda Jo Prestigiacomo, FNP-C

Nurse Practitioner · Twin Falls, ID

NPI number 1043747579 Active

Practice location

350 N Haven Dr
Twin Falls, ID 83301-5788

Fax (208) 904-4832

Mailing address

PO Box 268934
Oklahoma City, OK 73126-8934

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X55632 (ID)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1043747579

Amanda Jo Prestigiacomo, FNP-C's National Provider Identifier is 1043747579, issued on May 15, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Twin Falls, ID. The record was last updated on Apr 8, 2021.