Amanda Nelson, MD | |
15350 English Ave, Apple Valley, MN 55124-6252 | |
(952) 431-8500 | |
(952) 431-8598 |
Full Name | Amanda Nelson |
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Gender | Female |
Speciality | Pediatrics |
Location | 15350 English Ave, Apple Valley, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407200736 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 68298 (Minnesota) | Primary |
208000000X | Pediatrics | 036149667 (Illinois) | Secondary |
Entity Name | The Board Of Trustees Of The University Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Mailing Address | Practice Location Address |
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Amanda Nelson, MD 8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516 Ph: (952) 431-8500 | Amanda Nelson, MD 15350 English Ave, Apple Valley, MN 55124-6252 Ph: (952) 431-8500 |
Dr. Julie A Saxton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124 Phone: 952-431-8500 Fax: 952-431-8598 | |
James E Dufort, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14135 Cedar Ave, Suite 100, Apple Valley, MN 55124 Phone: 952-432-4373 Fax: 952-997-5679 | |
Shannon Jo Parkos, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15350 English Ave, Apple Valley, MN 55124 Phone: 952-431-8500 Fax: 952-431-6966 | |
Mary Patricia Dourgarian, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14655 Galaxie Svenue, Apple Valley, MN 55124 Phone: 952-432-6161 Fax: 952-432-7019 |