Individual provider · Type 1 NPI

Amanda M. Moen, MD

Neurology with Special Qualifications in Child Neurology Physician · Minneapolis, MN

NPI number 1154563401 Active

Practice location

2450 Riverside Ave
Minneapolis, MN 55454-1450

Call (612) 365-6777 Map

Fax (612) 365-8021

Mailing address

200 University Ave E
St. Paul, MN 55101-2507

Other practice locations

  • 200 University Ave E, St. Paul, MN 55101-2507 · (651) 720-2803

Specialties and licenses

TaxonomyCodeLicense
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X107634 (MN)
Neurology with Special Qualifications in Child Neurology Physician Primary 2084N0402X58414 (MN)

Neurology with Special Qualifications in Child Neurology Physician: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

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About NPI 1154563401

Amanda M. Moen, MD's National Provider Identifier is 1154563401, issued on Apr 1, 2009. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in Minneapolis, MN. The record was last updated on Apr 4, 2019.