Individual
MRS. DONNA JEAN AMIDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
250 SO 4TH ST ROOM 510, MPLS DEPT OF HEALTH & FAMILY SUPPORT SCHOOL BASED CLIN, MINNEAPOLIS, MN 55415
(612) 673-5305
(612) 673-3866
Mailing address
308 PARKWAY COURT, MINNEAPOLIS, MN 55419
(612) 824-5401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0634023
MN
363LP0200X
Pediatric Nurse Practitioner
82001
MN
Other
Enumeration date
11/30/2006
Last updated
09/11/2025
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