Individual
AMANDA KATE ENESTVEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CPNP-PC
Contact information
Practice address
1521 CARLSON ST, MARSHALL, MN 56258
(507) 532-1101
(507) 532-1137
Mailing address
1521 CARLSON ST, MARSHALL, MN 56258-2626
(507) 532-1101
(507) 532-1137
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP 4775
MN
Other
Enumeration date
09/08/2016
Last updated
04/02/2019
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