Individual
AMY LYNNE WHITED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(505) 967-9549
Mailing address
1741 CALLE FELIZ, LAS CRUCES, NM 88001-4331
(541) 760-8538
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
57524
NM
Other
Enumeration date
11/11/2016
Last updated
09/30/2020
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