NPI

Amy Crain

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Individual
Enumeration date
2014-05-02
Last updated
2015-02-13

Specialties

Licenses

License MN
5917

Location

Practice location
1755 17th Ave E
City
Shakopee MN
Postal code
55379-3372
Phone
(952) 445-5250

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

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