Individual
AMANDA ONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4000 28TH AVE S, MOORHEAD, MN 56560
(701) 234-3200
(701) 234-3239
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(701) 234-2119
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R196696-5
MN
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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