Individual
AMANDA JEAN PINNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1010 S BIRCH AVE, HALLOCK, MN 56728-4215
(218) 843-2165
(218) 843-2311
Mailing address
1010 S BIRCH AVE, HALLOCK, MN 56728-4215
(218) 843-2165
(218) 843-2311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R-205070-2
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F06141226
AANPCP
—
01
—
R-205070-2
MINNESOTA RN LICENSE
MN
Enumeration date
07/09/2014
Last updated
07/09/2014
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