IndividualActive
Amanda Laatsch
NPI 1043760820 · Medical Physician Assistant · Eagan, MN
Provider details
- NPI number
- 1043760820
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- MA058619 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1185 Town Centre Dr Ste 205
Eagan, MN 55123-1370
Phone: (612) 871-1145
Fax: (612) 870-5491
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 14909
Minneapolis, MN 55414-0909
Registry dates
- Enumerated
- 2016-10-05
- Last updated
- 2020-02-10
- Certified
- 2020-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.