IndividualActive
Amanda Stillwell
NPI 1477050177 · Cardiac Rehabilitation Registered Nurse · Meridian, ID
Provider details
- NPI number
- 1477050177
- Entity type
- Individual
- Primary specialty
- Cardiac Rehabilitation Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 163WC3500X (ID)
Practice location
3525 E Louise Dr Ste 500
Meridian, ID 83642-6305
Phone: (208) 706-7059
Mailing address
3525 E Louise Dr Ste 500
Meridian, ID 83642-6305
Registry dates
- Enumerated
- 2018-04-09
- Last updated
- 2018-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.