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Individual

AMY L NTOBURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNM

Contact information

Practice address
1650 4TH ST SE, ROCHESTER, MN 55904-4717
(507) 529-6650
Mailing address
1650 4TH ST SE, ROCHESTER, MN 55904-4717
(507) 529-6650

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
R148305-3
MN
367A00000X
Advanced Practice Midwife
Primary
CNM 0214
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07-04146
MEDICA
01
1042353
PREFERRED ONE
01
132412
UCARE
01
2258974
AMERICA'S PPO (ARAZ)
01
44626
SIOUX VALLEY HEALTH PLAN
01
526T6LA
BCBS MN
MN
05
969683100
MN
01
HP48176
HEALTH PARTNERS
Enumeration date
01/25/2006
Last updated
04/18/2017
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