Individual provider · NPI-1

Amanda Aman, MD

Family Medicine · Nampa, ID

NPI number1902428634
StatusActive
Last updated in NPPESDec 15, 2023

Details

NPI
1902428634
Entity type
Individual (NPI-1)
Name
Amanda Aman
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
May 15, 2020
Certification date
Dec 15, 2023
Last updated
Dec 15, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineM-16422IDYes

Practice location

9850 W St Lukes Dr # 329
Nampa, ID 83687-7912

Phone 085-142-5092 · Fax 208-375-2217

Mailing address

777 N Raymond St
Boise, ID 83704-9251

Phone 208-514-2500

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