Individual provider · Type 1 NPI

Amanda Luckock, NP

Family Nurse Practitioner · Twin Falls, ID

NPI number 1366044935 Active

Practice location

388 Martin St
Twin Falls, ID 83301-4544

Call (208) 734-0451 Map

Mailing address

794 Eastland Dr
Twin Falls, ID 83301-6856

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X53351 (ID)
Family Medicine Physician 207Q00000X53351 (ID)

Family Nurse Practitioner: Definition to come...

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About NPI 1366044935

Amanda Luckock, NP's National Provider Identifier is 1366044935, issued on Nov 10, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Twin Falls, ID. The record was last updated on Nov 13, 2024.