Individual provider · Type 1 NPI

Amanda Rose Sweetland, PA

Medical Physician Assistant · Boise, ID

NPI number 1619112216 Active

Practice location

12273 W Mcmillan Rd
Boise, ID 83713

Fax (208) 367-4765

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Medical Physician Assistant Primary 363AM0700XPA-1094 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1619112216

Amanda Rose Sweetland, PA's National Provider Identifier is 1619112216, issued on Dec 10, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boise, ID. The record was last updated on Mar 19, 2021.