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Amanda Penick, PA-C
NPI 1891418448 · on the registry since 2022
Practice
- Address
- 5320 Hyland Greens Dr
Bloomington, MN 55437 - Phone
- (952) 993-2400
- Fax
- (952) 993-2522
- Organisation at this address
- Park Nicollet Health Care Products
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 42
Additional practice sites
- 8265 Obrian Ave Ne, Otsego, MN
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota