Individual provider · Type 1 NPI
Lucky Amedu, NP
Gerontology Nurse Practitioner · Minneapolis, MN
NPI number
1356882138
Active
Practice location
2925 Chicago Ave
Minneapolis, MN 55407-1321
Other practice locations
- 1415 Lilac Dr N Ste 190, Minneapolis, MN 55422-4544 · (763) 267-8701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | CNP 5058 (MN) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 5058 (MN) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1356882138
Lucky Amedu, NP's National Provider Identifier is 1356882138, issued on Mar 14, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 1, 2022.