Individual provider · Type 1 NPI
Amanda Marie Tillemans, NURSE PRACTITIONER
Psychiatric/Mental Health Nurse Practitioner · Kuna, ID
NPI number
1548830573
Active
Practice location
13500 S Pleasant Valley Rd
Kuna, ID 83634-2709
Mailing address
3540 S Beverly St
Boise, ID 83709-4907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 68559 (ID) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
4 other providers at this address
Other psychiatric/mental health nurse practitioner providers in Kuna
About NPI 1548830573
Amanda Marie Tillemans, NURSE PRACTITIONER's National Provider Identifier is 1548830573, issued on Jun 30, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Kuna, ID. The record was last updated on Jun 30, 2021.