Individual provider · Type 1 NPI
Amanda Jeanne Carroll, CNP
Family Nurse Practitioner · St. Paul, MN
NPI number
1528315470
Active
Practice location
1358 Kent St
St. Paul, MN 55117-4226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R 173863-0 (MN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1528315470
Amanda Jeanne Carroll, CNP's National Provider Identifier is 1528315470, issued on Aug 9, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Paul, MN. The record was last updated on Aug 9, 2012.