Individual provider · Type 1 NPI
Amanda Petersen, FNP-BC, RN
Family Nurse Practitioner · Twin Falls, ID
NPI number
1689163222
Active
Practice location
775 Pole Line Rd W Ste 113
Twin Falls, ID 83301-5819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 58323 (ID) |
Family Nurse Practitioner: Definition to come...
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About NPI 1689163222
Amanda Petersen, FNP-BC, RN's National Provider Identifier is 1689163222, issued on May 9, 2018. 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 May 9, 2018.