AMANDA LUKASIK RN
NPI 1467177592
Registered Nurse - Ambulatory Care in Boise, ID
Active since October 11, 2022
About Amanda Lukasik Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA LUKASIK RN (NPI 1467177592) is an individual ambulatory care provider in Boise, Idaho, licensed in Idaho (47046) and active in the NPI registry since October 2022.
NPPES Registry Identity
NPI1467177592
Entity TypeIndividualFemale
Primary Taxonomy163WP2201X
Provider Legal NameAMANDA LUKASIKCredential: RN
Location Address500 W FORT STBoise, ID 83702-4501
Mailing Address500 W Fort StBoise, ID 83702-4501 · (208) 422-1000
Phone(208) 422-1000
Sole ProprietorNo
Enumeration DateOctober 11, 2022
NPPES CertifiedOctober 11, 2022
✔ NPI 1467177592 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Ambulatory CareNursing Service Providers
Taxonomy Code163WP2201X
License✔ Licensed in ID · 47046
500 W FORT ST, Boise, ID 83702
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467177592, enumerated as an "individual" on October 11, 2022.
The provider is located at 500 W FORT ST BOISE, ID 83702 and the phone number is (208) 422-1000.
Registered Nurse with taxonomy code 163WP2201X and a focus in Ambulatory Care.
