IndividualActive
Amanda Dominik, CNP
NPI 1518587120 · Pediatric Nurse Practitioner · Arden Hills, MN
Provider details
- NPI number
- 1518587120
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- License
- 7377 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4411 Arden View Ct
Arden Hills, MN 55112-1944
Phone: (651) 331-0827
Approximate (ZIP-level) locationGet directions
Mailing address
4411 Arden View Ct
Arden Hills, MN 55112-1944
Registry dates
- Enumerated
- 2020-04-23
- Last updated
- 2020-04-23
- Certified
- 2020-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.