Individual
AMANDA LEE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 251-2700
Mailing address
2605 CHARLOTTE ST, ROSEVILLE, MN 55113-2808
(651) 295-1783
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
7859
MN
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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