NPI 1043388192 · live from the CMS NPI Registry
Donna Jean Amidon, CNP
Registered Nurse in Minneapolis, MN. National Provider Identifier 1043388192, active.
NPI record
| NPI | 1043388192 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse 163W00000X |
| Practice location | 250 So 4th St Room 510, Mpls Dept Of Health & Family Support School Based Clin, Minneapolis, MN 55415 |
| Practice phone | 612-673-5305 |
| Mailing address | 308 Parkway Court, Minneapolis, MN 55419 |
| Enumerated | November 30, 2006 |
| Last updated | September 11, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse primary | 163W00000X | R0634023 (MN) |
| Nurse Practitioner, Pediatrics | 363LP0200X | 82001 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.