Individual
AMY PENNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
45 10TH ST W, SAINT PAUL, MN 55102-1053
(651) 232-3000
Mailing address
7059 UPPER 22ND ST N, OAKDALE, MN 55128-4326
(651) 341-2130
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8525
MN
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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