Bro, Amy Joy

Bro, Amy Joy is an individual health care provider with primary practice located at 4000 28Th Ave S , Moorhead MN 56560-7926. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bro, Amy Joy can be contacted via phone (701) 234-3200.

Contact Information

Primary practice address
4000 28Th Ave S Moorhead MN 56560-7926
Phone: (701) 234-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R191121-1 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R33406 North Dakota

Profile Details

NPI number 1114314093
LBN Legal business name Bro, Amy Joy
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2015
Last updated Apr 19th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114314093 NPPES
Minnesota Other R191121-1 REGISTERED NURSE LICENSE
Minnesota Other R33406 REGISTERED NURSE LICENSE

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