IndividualActive
Amanda Bolin, FNP-C
NPI 1780328393 · Family Nurse Practitioner · Fruitland, ID
Provider details
- NPI number
- 1780328393
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 72434 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1118 Nw 16th St Ste D
Fruitland, ID 83619-2272
Phone: (208) 452-7677
Approximate (ZIP-level) locationGet directions
Mailing address
1839 Hood Rd
Vale, OR 97918-5370
Registry dates
- Enumerated
- 2022-04-21
- Last updated
- 2022-04-21
- Certified
- 2022-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.