AMY LYNN ANTONICH APNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1922519339- Provider Type
- Individual Provider (NPI-1)
- Credentials
- APNP
- Status
- Active
Contact & Location
- Address
- 17 EXCHANGE ST W STE 622, SAINT PAUL, MN, 551021225
- Phone
- (651) 297-9141
Specialties & Taxonomies
Nurse Practitioner, Family
License: AZ #338007
Nurse Practitioner, Family
Primary License: WI #8031-33
Family Medicine
License: WI #8031-33