IndividualActive
Amanda Keough, APRN, CNP
NPI 1407507411 · Family Nurse Practitioner · Virginia, MN
Provider details
- NPI number
- 1407507411
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, CNP
- Sex
- Female
- Sole proprietor
- No
- License
- 2360670 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1101 9th St N
Virginia, MN 55792-2329
Phone: (218) 741-0150
Approximate (ZIP-level) locationGet directions
Mailing address
400 E 3rd St
Duluth, MN 55805-1951
Registry dates
- Enumerated
- 2022-01-11
- Last updated
- 2022-01-11
- Certified
- 2022-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.