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Individual

AMY LOUISE HAYCRAFT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
SOUTH CENTRAL HUMAN RELATIONS CENTER, 610 FLORENCE AVE, OWATONNA, MN 55060
(507) 451-2630
Mailing address
125 THISSEN CT, MANKATO, MN 56001-5578
(480) 206-9477
(602) 262-8890

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
608
MN
363LA2200X
Adult Health Nurse Practitioner
AP3999
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95027546
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4981882917
PECOS
MN
Enumeration date
05/02/2011
Last updated
03/23/2025
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