Individual
MRS. AMANDA JO BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 280-4140
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0437
ND
363AS0400X
Surgical Physician Assistant
PAC0437
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285941872
—
MN
05
—
71131
—
ND
Enumeration date
09/03/2010
Last updated
07/28/2021
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