IndividualActive
Amanda Luckock, NP
NPI 1366044935 · Family Nurse Practitioner · Twin Falls, ID
Provider details
- NPI number
- 1366044935
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 53351 (ID)
Mailing address
794 Eastland Dr
Twin Falls, ID 83301-6856
Registry dates
- Enumerated
- 2020-11-10
- Last updated
- 2024-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.