Peterson, Amanda Vancene

Peterson, Amanda Vancene is an sole proprietor health care provider with primary practice located at 225 Smith Ave N Ste 501 , Saint Paul MN 55102-2545. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Peterson, Amanda Vancene can be contacted via phone (651) 726-6200.

Contact Information

Primary practice address
225 Smith Ave N Ste 501 Saint Paul MN 55102-2545
Phone: (651) 726-6200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 1750728 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 00000 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 9286 Minnesota

Profile Details

NPI number 1255077202
LBN Legal business name Peterson, Amanda Vancene
Credentials AGACNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2022
Last updated Jan 16th, 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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