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HomeProvidersAMMARA, INC.

Nurse Practitioner, Family

AMMARA, INC.

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1821003708 · enumerated 2006-07-29 · record updated 2020-08-22. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Authorized official: KATHY GAVIN FNP, OWNER · (208) 263-1345

Addresses and phones

Mailing address 30410 HIGHWAY 200, PONDERAY, ID, 83852-9601 (208) 263-1345 Fax (208) 255-5531 Google Maps Apple Maps OpenStreetMap
Practice location 30410 HIGHWAY 200, PONDERAY, ID, 83852-9601 (208) 263-1345 Fax (208) 255-5531 Google Maps Apple Maps OpenStreetMap

Specialties

Nurse Practitioner, Family 363LF0000X · Primary · License NP-257A ID

In this directory

ID Bonner County Ponderay Nurse Practitioner, Family

Locations and evidence

Practice location PONDERAY, ID, 838529601
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.