Chinenye Amadi

Individual provider Active NPI Licensed Practical Nurse · Eagan, MN

NPI 1467923243 · NPPES record last updated Dec 5, 2018

Key facts

NPI
1467923243
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
818821 (MN)
Practice address
1350 High Site Dr Apt 218
Eagan, MN 55121-2153
Phone
(651) 278-0737
NPI assigned
Dec 5, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
818821MNMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 818821 MN Yes

Addresses

Primary practice location

1350 High Site Dr Apt 218
Eagan, MN 55121-2153

Mailing address

1350 High Site Dr Apt 218
Eagan, MN 55121-2153
Phone (651) 278-0737

Other providers in Eagan, MN

All providers in Eagan, MN · Licensed Practical Nurse in Minnesota

Sources for this page

Verify at the official NPI Registry.