Individual provider · Type 1 NPI

Amie Beth Kenyen, NP-C

Nurse Practitioner · Pocatello, ID

NPI number 1114569282 Active

Practice location

444 Hospital Way Ste 607
Pocatello, ID 83201-2714

Call (208) 589-3844 Map

Mailing address

3592 Nathan Dr
Idaho Falls, ID 83404-7948

Other practice locations

2375 E Sunnyside Rd Ste F, Idaho Falls, ID 83404-8281 · (208) 589-3844

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	62679 (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 1114569282

Amie Beth Kenyen, NP-C's National Provider Identifier is 1114569282, issued on Oct 10, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pocatello, ID. The record was last updated on Oct 10, 2019.