Individual
MRS. DESTINY BRIANNE AMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
320 EAST MAIN ST, CROSBY, MN 56441
(218) 546-7000
(218) 546-4400
Mailing address
320 EAST MAIN ST, CROSBY, MN 56441
(218) 546-7000
(218) 546-4400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9651
MN
363LA2100X
Acute Care Nurse Practitioner
9651
MN
Other
Enumeration date
10/25/2022
Last updated
05/30/2023
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