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Individual

AMANDA COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
1120 WAYZATA BLVD E STE 210, WAYZATA, MN 55391-1915
(320) 253-3512
Mailing address
PO BOX 17370 LOT 4400, ST. PAUL, MN 55117

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC-16408
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8958
MN

Other

Enumeration date
01/31/2017
Last updated
05/17/2025
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