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Amanda Nielsen
NPI 1275900888 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1305 S Kimball Ave
Caldwell, ID 83605 - Phone
- (208) 459-1039
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-08-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho