Individual
MRS. AMY SAULSBY-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, AGNP-C
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(954) 448-1463
(678) 228-1475
Mailing address
UNITEDHEALTH GROUP, P.O. BOX 1459, MINNEAPOLIS, MN 55440-1459
(954) 448-1463
(678) 228-1475
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN180176
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN180176
GA
363LG0600X
Gerontology Nurse Practitioner
RN180176
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003162549A
—
GA
01
—
ARNP3397912
FLNP LICENSE
FL
01
—
RN180176
GA LICENSE
GA
01
—
RN3397912
FL RN LICENSE
FL
Enumeration date
08/29/2014
Last updated
06/22/2020
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