Individual
AMANDA LYNN BRAATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
428 MINNESOTA ST STE 500, SAINT PAUL, MN 55101-2666
(651) 661-4986
Mailing address
428 MINNESOTA ST STE 500, SAINT PAUL, MN 55101-2666
(651) 661-4986
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6553
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
6553
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275025520
—
MN
Enumeration date
06/02/2018
Last updated
04/26/2025
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