Individual provider · NPI-1
Camille Edosa - Amundson
Case Manager/Care Coordinator · Brooklyn Park, MN
NPI number1669958559
StatusActive
Last updated in NPPESSep 22, 2022
Details
- NPI
- 1669958559
- Entity type
- Individual (NPI-1)
- Name
- Camille Edosa - Amundson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2018
- Certification date
- Sep 22, 2022
- Last updated
- Sep 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 374U00000X | Home Health Aide | – | – | |
| 376J00000X | Homemaker | – | – |
Practice location
7420 Unity Ave N Ste 310bBrooklyn Park, MN 55443-3162
Phone 612-450-1922
Mailing address
7420 Unity Ave N Ste 310bBrooklyn Park, MN 55443-3162
Phone 612-450-1922
Other practice locations
13318 85th Ave N
Maple Grove, MN 55369-4629
Maple Grove, MN 55369-4629
Phone 763-464-7487
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