person
Amanda Grace Vander Wal, APN
Family Nurse Practitioner in Coon Rapids, Minnesota
NPI 1811249295

Amanda Grace Vander Wal is a Family Nurse Practitioner based in Coon Rapids, MN and is specialized in Family. Amanda Grace Vander Wal practices in Coon Rapids, MN and has the professional credentials of APN. The NPI Number for Amanda Grace Vander Wal is 1811249295 and holds a License No. 2073 (Minnesota).

The current practice location address for Amanda Grace Vander Wal is 4050 Coon Rapids Blvd Nw, Coon Rapids, MN and can be reached out via phone at 516-635-9173 and via fax at 651-628-2999. You can also correspond with Amanda Grace Vander Wal through the mailing address at 4050 COON RAPIDS BLVD NW, COON RAPIDS, MN - 55433-2522 (mailing address contact number: 516-359-1736).

Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN, 55433-2522
person
Provider Profile Details
NPI Number
1811249295
Provider Name
Amanda Grace Vander Wal
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
4050 Coon Rapids Blvd Nw, Coon Rapids, MN, 55433-2522
Phone Number
516-635-9173
Fax Number
651-628-2999
Provider Enumeration Date
10/09/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4050 Coon Rapids Blvd Nw
City
State
Zip
55433-2522
Phone Number
516-635-9173
Fax Number
651-628-2999
person
Provider Business Mailing Address Details
Address
4050 Coon Rapids Blvd Nw
City
State
Zip
55433-2522
Phone Number
516-359-1736
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2073 (Minnesota)
Definition
Definition to come...
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