Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Vander Woude

Individual provider Physician Assistant · NPI 1437881059

Amanda Vander Woude is a Physician Assistant in Nampa, Idaho. Qualified in 2023, 3 years ago. Practices with Dermatology Center of Canyon County, a 6-clinician group and accepts Medicare assignment. Licensed in Alabama and Idaho.

Years since qualifying
3
Licensed in
AL, ID
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

318 2nd St S
Nampa, ID 83651-3765
Phone: (208) 467-3006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2673 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA-2410 (AL)

Record details

NPI number1437881059
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 30, 2022
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025
Mailing address318 2nd St S, Nampa, ID 83651-3765

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Dermatology Center Of Canyon County — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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