Individual
MR. MICKEY AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
720 WASHINGTON AVE SE STE 300, MINNEAPOLIS, MN 55414-2904
(612) 884-0649
(612) 676-8992
Mailing address
720 WASHINGTON AVE SE STE 300, MINNEAPOLIS, MN 55414-2904
(612) 884-0649
(612) 676-8992
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
9438
MN
363LG0600X
Gerontology Nurse Practitioner
9438
MN
Other
Enumeration date
08/25/2022
Last updated
01/03/2024
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