P Praxis·MD
● Active Type 1 · Individual

Amanda Petersen, FNP-BC, RN

Nurse Practitioner·Twin Falls, ID· NPI 1689163222 · Enumerated 2018 · 8 years on NPI
Petersen is 1 of 87 nurse practitioner providers in Twin Falls and 1 of 1280 in Idaho.
NPI age
8 years
Enumerated 2018-05-09
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-05-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
8 years
≈ at median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-05Enumerated in NPPES
2018 2026

Where they practice

Practice location
775 Pole Line Rd W Ste 113
Twin Falls, ID 833015819
📞 2088148292
Mailing address
775 Pole Line Rd W Ste 113
Twin Falls, ID 833015819
📞 2088148292

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #58323 taxonomy 363LF0000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 4 new nurse practitioner providers have been added in Twin Falls in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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