Masse, Amber D
Masse, Amber D is an individual health care provider with primary practice located at 808 Pancheri Drive , Idaho Falls ID 83402-3344. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Masse, Amber D can be contacted via phone (208) 552-6900.Contact Information
Primary practice address
808 Pancheri Drive
Idaho Falls ID 83402-3344
Phone: (208) 552-6900
Fax: (208) 552-4973
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP607A | Idaho |
Profile Details
| NPI number | 1235208687 |
|---|---|
| LBN Legal business name | Masse, Amber D |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Jan 14th, 2013 - about 11 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235208687 | NPPES |
| Idaho | MEDICAID | 806734800 |
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