Individual
AMBER SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(435) 654-8174
Mailing address
5365 GREYSTONE DR APT 107, INVER GROVE HEIGHTS, MN 55077-1752
(435) 654-8174
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
2495516
MN
225XP0019X
Physical Rehabilitation Occupational Therapist
201989
MN
Other
Enumeration date
07/10/2015
Last updated
07/22/2025
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