AMANDA PETERSEN FNP-BC, RN
NPI 1689163222
Nurse Practitioner - Family in Twin Falls, ID

Q: What is Amanda Petersen's NPI number?

The NPI number for Amanda Petersen is 1689163222. It was assigned to this individual provider in the NPPES registry on May 9, 2018.

Q: What is Amanda Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Petersen was last updated on May 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 09, 2018

775 POLE LINE RD W STE 113, TWIN FALLS, ID 83301(208) 814-8292 Get Directions Write a Review

NPPES record last updated: May 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Amanda Petersen Fnp-bc, Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA PETERSEN FNP-BC, RN (NPI 1689163222) is an individual family provider in Twin Falls, Idaho, licensed in Idaho (58323) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1689163222

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA PETERSENCredential: FNP-BC, RN

Location Address775 POLE LINE RD W STE 113Twin Falls, ID 83301-5819

Mailing Address775 Pole Line Rd W Ste 113Twin Falls, ID 83301-5819 · (208) 814-8292

Phone(208) 814-8292

Sole ProprietorNo

Enumeration DateMay 9, 2018

✔ NPI 1689163222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ID · 58323

775 POLE LINE RD W STE 113, Twin Falls, ID 83301

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Petersen's NPI number?

The NPI number for Amanda Petersen is 1689163222. It was assigned to this individual provider in the NPPES registry on May 9, 2018.

Where is Amanda Petersen located?

Amanda Petersen practices at 775 Pole Line Rd W Ste 113, Twin Falls, ID 83301. The listed phone number is (208) 814-8292.

What is Amanda Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Amanda Petersen was last updated on May 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.