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Individual

AMANDA KOTTEN

Active
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Individual

AMANDA KOTTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
2293967
MN
163WN0002X
Neonatal Intensive Care Registered Nurse
R038774
SD
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
4080
MN

Other

Enumeration date
08/05/2015
Last updated
08/10/2015
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