Individual provider · Type 1 NPI

Amy Jaclyn Goldstein

Pediatric Nurse Practitioner · Minneapolis, MN

NPI number 1114456456 Active

Practice location

2525 Chicago Ave
Minneapolis, MN 55404-4518

Other practice locations

  • 345 Smith Ave N, St. Paul, MN 55102-2346 · (612) 813-5940

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X218186-2 (MN)
Pediatric Nurse Practitioner Primary 363LP0200X5315 (MN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1114456456

Amy Jaclyn Goldstein's National Provider Identifier is 1114456456, issued on Jun 9, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 17, 2019.