Harrison, Amanda J

Harrison, Amanda J is an individual health care provider with primary practice located at 8600 Nicollet Ave S Mail Stop 31500A, Bloomington MN 55420-2824. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Harrison, Amanda J can be contacted via phone (952) 887-6600.

Contact Information

Primary practice address
8600 Nicollet Ave S Mail Stop 31500A Bloomington MN 55420-2824
Phone: (952) 887-6600
Fax: (952) 886-7015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9933 Minnesota

Profile Details

NPI number 1477528727
LBN Legal business name Harrison, Amanda J
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Feb 17th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477528727 NPPES
Minnesota MEDICAID 500684800

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