Lavalla, Amy J

Lavalla, Amy J is an individual health care provider with primary practice located at 1132 28Th Ave S Ste 102 , Moorhead MN 56560-4420. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Lavalla, Amy J can be contacted via phone (218) 512-0630.

Contact Information

Primary practice address
1132 28Th Ave S Ste 102 Moorhead MN 56560-4420
Phone: (218) 512-0630
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R37868 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP 4017 Minnesota

Profile Details

NPI number 1215312236
LBN Legal business name Lavalla, Amy J
Credentials DNP, PMHNP-BC, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2015
Last updated Jan 10th, 2023 - about 2 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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