IndividualActive
Amy Pabawena, NP
NPI 1821545211 · Family Nurse Practitioner · Pocatello, ID
Provider details
- NPI number
- 1821545211
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- NP-54117 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
500 S 11th Ave Ste 400
Pocatello, ID 83201-4880
Phone: (208) 232-7862
Fax: (208) 232-7869
Approximate (ZIP-level) locationGet directions
Mailing address
500 S 11th Ave
Pocatello, ID 83201-4835
Registry dates
- Enumerated
- 2016-09-02
- Last updated
- 2019-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.