Amanda Decker, is a
Licensed Practical Nurse based in Waverly, Minnesota. Amanda Decker is licensed to practice in Minnesota (license number L074677-5) and her current practice location is
3102 25th St Sw, Waverly, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 702-9300.
NPI number for Amanda Decker is 1053779769 and her current mailing address is 3102 25th St Sw, Waverly, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053779769.
Provider's Profile
Full Name | Amanda Decker |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 3102 25th St Sw, Waverly, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053779769
- Provider Enumeration Date: 02/09/2016
- Last Update Date: 02/09/2016
Medical Identifiers
Medical identifiers for Amanda Decker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053779769 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | L074677-5 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Decker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amanda Decker, 3102 25th St Sw, Waverly, MN 55390-5043 Ph: (612) 702-9300 | Amanda Decker, 3102 25th St Sw, Waverly, MN 55390-5043 Ph: (612) 702-9300 |
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