Individual
AMANDA RASHELLE GROMMESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, PHN
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Mailing address
64 LINDEN AVE S, MAPLE LAKE, MN 55358-4580
(952) 994-5126
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2481723
MN
163WG0000X
General Practice Registered Nurse
2481723
MN
163WP2201X
Ambulatory Care Registered Nurse
Primary
2481723
MN
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
32572
MN
Other
Enumeration date
09/09/2024
Last updated
03/18/2026
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