Bledsoe, Amanda Rose

Bledsoe, Amanda Rose is an individual health care provider with primary practice located at 1510 12Th Ave Rd Ste 200 , Nampa ID 83686-6008. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Bledsoe, Amanda Rose can be contacted via phone (208) 302-6800.

Contact Information

Primary practice address
1510 12Th Ave Rd Ste 200 Nampa ID 83686-6008
Phone: (208) 302-6800
Fax: (208) 302-6855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X NP-53726 Idaho
Nursing Service Providers / Registered Nurse 163W00000X 53726 Idaho

Profile Details

NPI number 1558027532
LBN Legal business name Bledsoe, Amanda Rose
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2021
Last updated Mar 14th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558027532 NPPES
Oregon Other 202002437RN RN LICENSE
Oregon Other 53726 RN LICENSE

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