Mrs. Donna Jean Amidon
Nurse Practitioner - Pediatrics
250 So 4th St Room 510 Mpls Dept Of Health & Family Support School Based Clin
Minneapolis
, Minnesota 55415
Mrs. Donna Jean Amidon
Nurse Practitioner - Pediatrics
250 So 4th St Room 510 Mpls Dept Of Health & Family Support School Based Clin
Minneapolis
, Minnesota 55415
(612) 824-5401
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Donna Jean Amidon
- 308 Parkway Court
- Minneapolis, MN
- Zip : 55419
- Phone : (612) 824-5401
Second Address
- Mrs. Donna Jean Amidon
- 250 So 4th St Room 510 Mpls Dept Of Health & Family Support School Based Clin
- Minneapolis, MN
- Zip : 55415
- Fax : (612) 673-3866
- Phone : (612) 673-5305
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LP0200X | Nurse Practitioner - Pediatrics | 82001 | MN |
National Provider Identifier
| NPI | 1043388192 |
|---|---|
| Provider Name | Mrs. Donna Jean Amidon |
| First Address | Minneapolis, MN 55419 |
| Second Address | Minneapolis, MN 55415 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/11/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.