Provider Demographics
NPI:1225924608
Name:HAMANN, AMANDA CRISTINE (DNP-FNP)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:CRISTINE
Last Name:HAMANN
Suffix:
Gender:F
Credentials:DNP-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2182 BITTERROOT DR
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-3576
Mailing Address - Country:US
Mailing Address - Phone:208-539-3858
Mailing Address - Fax:208-539-3858
Practice Address - Street 1:2167 VILLAGE PARK AVE STE 300
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-4175
Practice Address - Country:US
Practice Address - Phone:208-733-5117
Practice Address - Fax:208-539-3858
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID9271164207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine