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Amy Neideffer

NPI 1114663291 · on the registry since 2022

Practice

Address
1702 S Kimball Ave
Caldwell, ID 83605
Phone
(208) 459-2641
Fax
(208) 459-2895
Organisation at this address
Total Vision Pa
Micah S Mills Od Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
152W00000X
390200000X
Licence states on file
OK, ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-08-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho