Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 1283 | MN |
N | 363L00000X | Nurse Practitioner | 1697412 | MN |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 2014015297 | MN |
NPI | 1003225244 |
---|---|
Provider Name | Amy Behnken |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2014 |
Last Update Date | 07/08/2020 |