Individual
AMELIA DEWIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
800 E 28TH ST STE H2100, MINNEAPOLIS, MN 55407
(612) 863-3900
Mailing address
SSB-6, 400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1985564
MN
363L00000X
Nurse Practitioner
4639
MN
363LA2100X
Acute Care Nurse Practitioner
Primary
4639
MN
Other
Enumeration date
07/12/2016
Last updated
08/09/2021
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