AMANDA LEE MYRAN APRN CNP NPI 1336569243

NPI Information

NPI: 1336569243
Provider Name: AMANDA LEE MYRAN, APRN, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: CENTRACARE CLINIC

PECOS Registration: Yes

Address:
1406 6TH AVE N
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 251-2700
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Amanda Lee Myran, APRN, CNP is a family nurse practitioner in Saint Cloud, MN with 11 years of experience. Amanda Lee Myran, APRN, CNP NPI is 1336569243. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2013

The provider's business location address is:

1406 6TH AVE N
SAINT CLOUD, MN
ZIP 56303-900
Phone: (320) 251-2700

The NPI 1336569243 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 4/17/2014 and was last updated on 10/9/2018.

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	363LF0000X	Nurse Practitioner	Family	1040	MINNESOTA	Yes
2	363LF0000X	Nurse Practitioner	Family	F0114453	MINNESOTA	No

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: 11/14/2023

NPI Synchronization or Removal

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