Individual
MARY ELIZABETH AMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
2284442
MN
208000000X
Pediatrics Physician
Primary
8600
MN
Other
Enumeration date
05/22/2020
Last updated
11/08/2022
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