Provider Demographics
NPI:1093228769
Name:TURNER, AMANDA LYNN (PA)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:LYNN
Last Name:TURNER
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:16111 N BRINSON ST STE 100
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83687-5509
Mailing Address - Country:US
Mailing Address - Phone:208-467-7546
Mailing Address - Fax:208-467-7500
Practice Address - Street 1:16111 N BRINSON ST STE 100
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83687-5509
Practice Address - Country:US
Practice Address - Phone:208-467-7546
Practice Address - Fax:208-467-7500
Is Sole Proprietor?:No
Enumeration Date:2017-11-15
Last Update Date:2021-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IDPA-1537363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant