Individual
AMANDA MARIE ROERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1900 CENTRACARE CIR STE 2300, SAINT CLOUD, MN 56303-5000
(320) 654-3630
Mailing address
225 4TH AVE W, SWANVILLE, MN 56382-4614
(320) 360-3844
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11749
MN
Other
Enumeration date
07/13/2024
Last updated
07/13/2024
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