Individual
AMANDA CAROL HOUGHTALING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
211 E MILL ST, PELICAN RAPIDS, MN 56572-4234
(218) 863-6100
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5631
MN
Other
Enumeration date
01/08/2018
Last updated
12/12/2024
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