IndividualActive
Amanda Decker
NPI 1053779769 · Licensed Practical Nurse · Waverly, MN
Provider details
- NPI number
- 1053779769
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- L074677-5 (MN)
Specialties & taxonomies
Nursing Service Providers
Practice location
3102 25th St Sw
Waverly, MN 55390-5043
Phone: (612) 702-9300
Approximate (ZIP-level) locationGet directions
Mailing address
3102 25th St Sw
Waverly, MN 55390-5043
Registry dates
- Enumerated
- 2016-02-09
- Last updated
- 2016-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.