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Ms. Amanda Lea Keough, APRN,CNP
Family Nurse Practitioner in Virginia, Minnesota
NPI 1407507411

Amanda Lea Keough is a Family Nurse Practitioner based in Duluth, MN and is specialized in Family. Amanda Lea Keough practices in Virginia, MN and has the professional credentials of APRN,CNP. The NPI Number for Amanda Lea Keough is 1407507411 and holds a License No. 2360670 (Minnesota).

The current practice location address for Amanda Lea Keough is 1101 9Th St N, Virginia, MN and can be reached out via phone at 218-741-0150.

Location: 1101 9Th St N, Virginia, MN, 55805-1951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407507411
Provider Name
Amanda Lea Keough
Credential
APRN,CNP
Provider Entity Type
Individual
Gender
Female
Address
1101 9Th St N, Virginia, MN, 55805-1951
Phone Number
218-741-0150
Fax Number
Provider Enumeration Date
01/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1101 9Th St N
City
Virginia
State
Minnesota
Zip
55792-2329
Phone Number
218-741-0150
Fax Number
person
Provider Business Mailing Address Details
Address
1101 9Th St N
City
Virginia
State
Minnesota
Zip
55792-2329
Phone Number
218-741-0150
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2360670 (Minnesota)
Definition
Definition to come...
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