Individual
AMY JEANNE SECOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9325 UPLAND LN N, MAPLE GROVE, MN 55369-4200
(612) 322-6903
Mailing address
15 CREEKSIDE DR, LONG LAKE, MN 55356-9432
(612) 723-2344
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
AP132938
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
CNP4723
MN
Other
Enumeration date
07/14/2011
Last updated
11/02/2021
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