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Contact Information

AMANDA R BLEDSOE, FNP-C
1510 12TH AVE RD STE 200
NAMPA, ID83686-6008
 Phone: 208-302-6800
 Fax: 208-302-6855
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for AMANDA R BLEDSOE · (Female)

NPI Number 1558027532
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 11/13/2021
Last updated 03/14/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • ID License # 53726
  • ID License # NP-53726
  • ID Other 53726 NURSING LICENSE
  • OR Other 202002437RN RN LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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