Amanda Jeanne Carroll, CNP | |
1358 Kent St, Saint Paul, MN 55117-4226 | |
(952) 240-3046 | |
Not Available |
Full Name | Amanda Jeanne Carroll |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 1358 Kent St, Saint Paul, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528315470 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R 173863-0 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health St Joseph's Medical Center | Brainerd, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Josephs Medical Center | 8224948443 | 214 |
Entity Name | St Josephs Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568415974 PECOS PAC ID: 8224948443 Enrollment ID: O20031119000468 |
Mailing Address | Practice Location Address |
---|---|
Amanda Jeanne Carroll, CNP 1358 Kent St, Saint Paul, MN 55117-4226 Ph: (952) 240-3046 | Amanda Jeanne Carroll, CNP 1358 Kent St, Saint Paul, MN 55117-4226 Ph: (952) 240-3046 |
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