NPI 1043747579

Amanda Jo Prestigiacomo, FNPC

Practitioner Nurse Practitioner Twin Falls, ID

Practice location

Address: 350 N Haven Dr, Twin Falls, ID 83301-5788
Phone: (208) 904-4780
Fax: (208) 904-4832
Mailing address: PO Box 268934, Oklahoma City, OK 73126-8934

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 55632 (ID)

Other Nurse Practitioner providers in Idaho →

Registry record

NPI: 1043747579
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 May 2017
Record last updated: 8 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.