Individual
AMANDA DUBUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
18580 JOPLIN AVE, LAKEVILLE, MN 55044-4218
(952) 892-9555
Mailing address
18580 JOPLIN AVE, LAKEVILLE, MN 55044-4218
(952) 892-9555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
187211-4
MN
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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