NPI
Amanda Boettger
NPI 1548778665
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- PA-C
- Type
- Individual
- Enumeration date
- 2018-01-11
- Last updated
- 2026-06-15
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Specialties
Licenses
- License MN
- 12596
- License WI
- 8981-23
Location
- Practice location
- 1575 Beam Ave
- City
- Maplewood MN
- Postal code
- 55109-1169
- Phone
- (651) 232-7348
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Maplewood, MN. 1,396 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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