Individual provider · NPI-1

Brenda K Amundson, NP

Nurse Practitioner · Bemidji, MN

NPI number1013163922
StatusActive
Last updated in NPPESApr 4, 2024

Details

NPI
1013163922
Entity type
Individual (NPI-1)
Name
Brenda K Amundson
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Aug 12, 2008
Certification date
Apr 4, 2024
Last updated
Apr 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerR1462456MNYes

Other names

  • Brenda Kay Goeddertz (Former Name)

Practice location

1500 Birchmont Dr Ne # 42
Bemidji, MN 56601-2600

Phone 218-755-2053 · Fax 218-755-2750

Mailing address

1500 Birchmont Dr Ne # 42
Bemidji, MN 56601-2600

Phone 218-755-2053 · Fax 218-755-2750

Other practice locations

2134 Bunker Lake Blvd Nw Ste 100
Andover, MN 55304-3910

Phone 763-754-4396

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