Prestigiacomo, Amanda Jo
Prestigiacomo, Amanda Jo is an individual health care provider with primary practice located at 350 N Haven Dr , Twin Falls ID 83301-5788. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Prestigiacomo, Amanda Jo can be contacted via phone (208) 904-4780.Contact Information
Primary practice address
350 N Haven Dr
Twin Falls ID 83301-5788
Phone: (208) 904-4780
Fax: (208) 904-4832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 55632 | Idaho |
Profile Details
| NPI number | 1043747579 |
|---|---|
| LBN Legal business name | Prestigiacomo, Amanda Jo |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2017 |
| Last updated | Apr 8th, 2021 - about 3 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.
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