Individual
AMBER RAE HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
5520 RIDGEWOOD CV, MINNETRISTA, MN 55364-8239
(800) 873-0561
Mailing address
5520 RIDGEWOOD CV, MINNETRISTA, MN 55364-8239
(800) 873-0561
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
5935
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
5935
MN
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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