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Contact Information

TAMARA M AMENDT, PA-C
1200 6TH AVENUE NORTH
CENTRACARE CLINIC RIVER CAMPUS HEART AND VASCULAR CENTE
ST CLODU, MN56303-2735
 Phone: 320-656-7020
 Fax: 320-255-5943
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TAMARA M AMENDT · (Female)

NPI Number 1831537380
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/06/2013
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 11327
  • MN License # 1902
Hospital affiliation(s)
  • PAYNESVILLE AREA HOSPITAL - (Critical Access)
    200 1ST STREET WEST
    PAYNESVILLE, MN 56362
  • ST CLOUD HOSPITAL - (Acute Care)
    1406 6TH AVE NORTH
    SAINT CLOUD, MN 56303
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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