IndividualActive
Amanda Kreienheder
NPI 1104009612 · Rehabilitation Clinical Nurse Specialist · Lewiston, ID
Provider details
- NPI number
- 1104009612
- Entity type
- Individual
- Primary specialty
- Rehabilitation Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PTA-394 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3315 8th St
Lewiston, ID 83501-4966
Phone: (208) 743-9543
Approximate (ZIP-level) locationGet directions
Mailing address
4690 Star Meadow Rd
Whitefish, MT 59937-8371
Registry dates
- Enumerated
- 2007-12-07
- Last updated
- 2007-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.