Individual
AMANDA KEYSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 MISSOURI AVE, BISMARCK, ND 58504-5264
(701) 712-5117
Mailing address
1200 MISSOURI AVE, BISMARCK, ND 58504-5264
(701) 712-5117
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1463621
—
ND
Enumeration date
05/13/2022
Last updated
05/13/2022
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