OrganizationActive
Ammara, Inc.
NPI 1821003708 · Family Nurse Practitioner · Ponderay, ID
Provider details
- NPI number
- 1821003708
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kathy Gavin, Owner(208) 263-1345
- License
- NP-257A (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
30410 Highway 200
Ponderay, ID 83852-9601
Phone: (208) 263-1345
Fax: (208) 255-5531
Approximate (ZIP-level) locationGet directions
Mailing address
30410 Highway 200
Ponderay, ID 83852-9601
Registry dates
- Enumerated
- 2006-07-29
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.