NPI 1609323484 · live from the CMS NPI Registry
Amanda Kate Enestvedt, RN CPNP-PC
Nurse Practitioner, Pediatrics in Marshall, MN. National Provider Identifier 1609323484, active.
NPI record
| NPI | 1609323484 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1521 Carlson St, Marshall, MN 56258 |
| Practice phone | 507-532-1101 |
| Enumerated | September 8, 2016 |
| Last updated | April 2, 2019 |
| Sole proprietor | No |
| Other names | Amanda Kohls |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | CNP 4775 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.