IndividualActive
Amanda Boettger, PA-C
NPI 1548778665 · Medical Physician Assistant · Maplewood, MN
Provider details
- NPI number
- 1548778665
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 12596 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1575 Beam Ave
Maplewood, MN 55109-1169
Phone: (651) 232-7348
Approximate (ZIP-level) locationGet directions
Mailing address
2829 University Ave Se Ste 730
Minneapolis, MN 55414-3279
Registry dates
- Enumerated
- 2018-01-11
- Last updated
- 2023-11-02
- Certified
- 2023-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.