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Contact Information

AMANDA J BOELTER
24724 616TH ST
MANTORVILLE, MN55955-7109
 Phone: 507-252-1317
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for AMANDA J BOELTER · (Female)

NPI # 1033892120
Status Active
Credentials
Entity Individual
Enumeration date 08/07/2023
Last updated 08/08/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 1724576
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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