IndividualActive
Amanda Tillemans, NURSE PRACTITIONER
NPI 1548830573 · Psychiatric/Mental Health Nurse Practitioner · Kuna, ID
Provider details
- NPI number
- 1548830573
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- No
- License
- 68559 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
13500 S Pleasant Valley Rd
Kuna, ID 83634-2709
Phone: (208) 336-0740
Approximate (ZIP-level) locationGet directions
Mailing address
3540 S Beverly St
Boise, ID 83709-4907
Registry dates
- Enumerated
- 2021-06-30
- Last updated
- 2021-06-30
- Certified
- 2021-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.