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Amanda Kreienheder I
Rehabilitation Clinical Nurse Specialist in Lewiston, Idaho
NPI 1104009612

Amanda Kreienheder I is a Rehabilitation Clinical Nurse Specialist based in Whitefish, ID and is specialized in Rehabilitation. Amanda Kreienheder I practices in Lewiston, ID. The NPI Number for Amanda Kreienheder I is 1104009612 and holds a License No. PTA-394 (Idaho).

The current practice location address for Amanda Kreienheder I is 3315 8Th St, Lewiston, ID and can be reached out via phone at 208-743-9543.

Location: 3315 8Th St, Lewiston, ID, 59937-8371
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104009612
Provider Name
Amanda Kreienheder I
Credential
Provider Entity Type
Individual
Gender
Female
Address
3315 8Th St, Lewiston, ID, 59937-8371
Phone Number
208-743-9543
Fax Number
Provider Enumeration Date
12/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3315 8Th St
City
Lewiston
State
Idaho
Zip
83501-4966
Phone Number
208-743-9543
Fax Number
person
Provider Business Mailing Address Details
Address
3315 8Th St
City
Lewiston
State
Idaho
Zip
83501-4966
Phone Number
208-743-9543
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Rehabilitation
Taxonomy
364SR0400X
License No.
PTA-394 (Idaho)
Definition
Definition to come...
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