IndividualActive
Amy Lavalla, DNP, PMHNP-BC, APRN
NPI 1215312236 · Psychiatric/Mental Health Nurse Practitioner · Moorhead, MN
Provider details
- NPI number
- 1215312236
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, PMHNP-BC, APRN
- Sex
- Female
- Sole proprietor
- No
- License
- R37868 (ND)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1132 28th Ave S Ste 102
Moorhead, MN 56560-4420
Phone: (218) 512-0630
Approximate (ZIP-level) locationGet directions
Mailing address
1132 28th Ave S Ste 102
Moorhead, MN 56560-4420
Registry dates
- Enumerated
- 2015-07-21
- Last updated
- 2023-01-10
- Certified
- 2023-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.