Individual
AMY PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6452 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3245
(952) 999-0333
Mailing address
2425 CAVELL AVE S, SAINT LOUIS PARK, MN 55426-2317
(612) 598-1435
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7578
MN
Other
Enumeration date
08/04/2020
Last updated
08/05/2020
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