NPI 1003337601

Amy Vandenberg, PAC

Practitioner Physician Assistant St Louis Park, MN

Practice location

Address: 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527
Phone: (952) 883-1000
Mailing address: 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 12451

Other Physician Assistant providers in Minnesota →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Registry record

NPI: 1003337601
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jul 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.