Individual
MADALYNNE HELEN AHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
14001 RIDGEDALE DR, #100, MINNETONKA, MN 55305-1753
(952) 473-0211
(952) 473-7908
Mailing address
14001 RIDGEDALE DR, #100, MINNETONKA, MN 55305-1753
(952) 473-0211
(952) 473-7908
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R0642374
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7576374000
—
MN
Enumeration date
02/13/2006
Last updated
12/28/2009
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