Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | AP60833233 | WA |
N | 363LC1500X | Nurse Practitioner - Community Health | 57894 | ID |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 57894 | ID |
NPI | 1720582638 |
---|---|
Provider Name | Amie L Scheinost |
First Address | Santa, ID 83866-0061 |
Second Address | Santa, ID 83866 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2018 |
Last Update Date | 26/01/2021 |