| Ms Amanda Lea Keough, APRN, CNP | |
|
1101 9th St N, Virginia, MN 55792-2329 | |
| (218) 741-0150 | |
| Not Available |
| Full Name | Ms Amanda Lea Keough |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1101 9th St N, Virginia, 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 |
|---|---|---|---|
| 1407507411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2360670 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health Virginia | Virginia, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Duluth Clinic Ltd | 2567374283 | 949 |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Amanda Lea Keough, APRN, CNP 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Ms Amanda Lea Keough, APRN, CNP 1101 9th St N, Virginia, MN 55792-2329 Ph: (218) 741-0150 |
Jennifer Lynn Kober, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150 | |
Mrs. Erin R Thielbar, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8373 Unity Dr, Virginia, MN 55792 Phone: 218-748-7480 Fax: 218-748-7488 | |
Brooke Elizabeth Pettinelli, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Duluth Clinic-virginia, Virginia, MN 55792 Phone: 218-741-0150 | |
Sara Luoma, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 901 9th St N, Essentia Health Virginia Medical Arts Clinic, Virginia, MN 55792 Phone: 218-741-7750 | |
Sara J Bruemmer, DNP, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8373 Unity Dr, Virginia, MN 55792 Phone: 218-748-7480 | |
Gina M Suihkonen, APRN,CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-305-0000 | |
Pamela J Jarvis, MA RN PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 624 S 13th St, Range Mental Health Center Inc, Virginia, MN 55792 Phone: 218-749-2881 Fax: 218-749-3806 |