Individual
MELINDA S. AMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
204 LEWIS AVE S, WATERTOWN, MN 55388
(952) 955-1963
(952) 955-1965
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(763) 520-7870
(763) 520-7580
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R 147016 3
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852908600
—
MN
Enumeration date
10/27/2006
Last updated
01/11/2019
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