NPI 1104009612

Amanda Kreienheder

Practitioner Rehabilitation Clinical Nurse Specialist Lewiston, ID

Practice location

Address: 3315 8th St, Lewiston, ID 83501-4966
Phone: (208) 743-9543
Mailing address: 4690 Star Meadow Rd, Whitefish, MT 59937-8371

Registered specialties

Rehabilitation Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SR0400X Licence PTA-394 (ID)

Other Clinical Nurse Specialist providers in Idaho →

Registry record

NPI: 1104009612
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Dec 2007
Record last updated: 7 Dec 2007

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.