Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | R-135126-6 | MN |
NPI | 1609866201 |
---|---|
Provider Name | Amy L Kramer |
First Address | Saint Cloud, MN 56303-2735 |
Second Address | Saint Cloud, MN 56303-2735 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2005 |
Last Update Date | 28/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0120945 | MEDICA HEALTH PLANS (01) | |
1044104 | PREFERRED ONE (01) | |
132974 | U-CARE (01) | |
185P8KR | BLUE CROSS BLUE SHIELD (01) | |
2365758 | ARAZ GROUP/AMERICAS PPO (01) | |
470014700 | MEDICAL ASSISTANCE (MA) (01) | |
6D053CE | BLUE CROSS BLUE SHIELD (01) | |
HP53181 | HEALTH PARTNERS (01) | |
Q48889 | (02) |