Individual
MRS. AMANDA JOY DOMINIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4411 ARDEN VIEW CT, ARDEN HILLS, MN 55112-1944
(651) 331-0827
Mailing address
4411 ARDEN VIEW CT, ARDEN HILLS, MN 55112-1944
(651) 331-0827
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
7377
MN
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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