AMY LYNN ANTONICH APNP NPI 1922519339

NPI Information

NPI: 1922519339
Provider Name: AMY LYNN ANTONICH, APNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
17 EXCHANGE ST W
STE 622
SAINT PAUL, MN
ZIP 55102
Phone: (651) 297-9141
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Amy Lynn Antonich, APNP is a family nurse practitioner in Saint Paul, MN with 7 years of experience. Amy Lynn Antonich, APNP NPI is 1922519339. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17 EXCHANGE ST W
STE 622
SAINT PAUL, MN
ZIP 55102-225
Phone: (651) 297-9141

The NPI 1922519339 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/12/2017 and was last updated on 10/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		8031-33	WISCONSIN	No
2	363LF0000X	Nurse Practitioner	Family	8031-33	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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