Provider Demographics
NPI:1235405705
Name:STINGER, AMANDA BETH WARTNER (MD, MPH)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:BETH WARTNER
Last Name:STINGER
Suffix:
Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:190 E BANNOCK ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83712-6241
Mailing Address - Country:US
Mailing Address - Phone:208-939-1035
Mailing Address - Fax:208-939-8970
Practice Address - Street 1:450 W STATE ST
Practice Address - Street 2:
Practice Address - City:EAGLE
Practice Address - State:ID
Practice Address - Zip Code:83616-7057
Practice Address - Country:US
Practice Address - Phone:208-939-1035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-28
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA60548197208000000X
IDM-14767208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics