Individual
AMANDA J MICKELSON
Active
Individual
AMANDA J MICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
10032-33
WI
363LG0600X
Gerontology Nurse Practitioner
Primary
1850563
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
5658
MN
Other
Enumeration date
11/29/2017
Last updated
06/17/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up