Vander Wal, Amanda Grace

Vander Wal, Amanda Grace is an individual health care provider with primary practice located at 4050 Coon Rapids Blvd Nw , Coon Rapids MN 55433-2522. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vander Wal, Amanda Grace can be contacted via phone (516) 635-9173.

Contact Information

Primary practice address
4050 Coon Rapids Blvd Nw Coon Rapids MN 55433-2522
Phone: (516) 635-9173
Fax: (651) 628-2999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2073 Minnesota

Profile Details

NPI number 1811249295
LBN Legal business name Vander Wal, Amanda Grace
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2012
Last updated Jun 9th, 2022 - 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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