Individual
AMAJENAE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6953 99TH STREET CT, COTTAGE GROVE, MN 55016-1065
(651) 785-3562
Mailing address
6953 99TH STREET CT, COTTAGE GROVE, MN 55016-1065
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13176
MN
Other
Enumeration date
09/29/2025
Last updated
10/24/2025
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