Individual
AMANDA J DIRCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1360 ELM ST E, SAINT JOSEPH, MN 56374-4694
(203) 363-7765
Mailing address
1360 ELM ST E, SAINT JOSEPH, MN 56374-4694
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
195472-8
MN
363LF0000X
Family Nurse Practitioner
Primary
7608
MN
Other
Enumeration date
07/27/2020
Last updated
02/26/2021
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