Individual
AMY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4688 OTTER CT NE, SAINT MICHAEL, MN 55376-2222
(763) 447-5411
Mailing address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
1907319
MN
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
1907319
MN
Other
Enumeration date
08/28/2024
Last updated
10/11/2024
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