Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA M MOEN, MD
ActiveAMANDA M MOEN, MD is a Neurology with Special Qualifications in Child Neurology healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1154563401 is currently active in the NPPES registry. Verify at CMS.
Neurology with Special Qualifications in Child Neurology · MINNEAPOLIS, MN
Registration Details
- NPI Number
- 1154563401
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 1, 2009 (17.342191562141 yrs)
- Last Updated
- Apr 4, 2019
- Licenses
-
107634 (MN)58414 (MN)
Practice Information
- Address
-
2450 RIVERSIDE AVEMINNEAPOLIS, MN, 554541450Browse MN providers · Browse ZIP 55454
- Phone
- 6123656777
- Fax
- 6123658021
- Primary Specialty
-
Neurology with Special Qualifications in Child Neurology
2084N0402X
- Additional Specialty
- Neurology with Special Qualifications in Child Neurology
Other Neurology with Special Qualifications in Child Neurology Providers in MINNEAPOLIS, MN
| Name | Credential | NPI |
|---|---|---|
| DR. GALEN NATLEY BRENINGSTALL | M.D. | 1437185394 |
| DR. LAWRENCE RICHARD CHARNAS | M.D., PHD | 1063449932 |
| SONYA GRACE WANG | M.D. | 1790997393 |
| MATTHIAS MANFRED ZINN | M.D. | 1609089994 |
| DR. JESSICA HELENA RANDA GOLDSTEIN | M.D. | 1275796732 |
| DR. LAURA CATHERINE SPELTZ | MD | 1306092655 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.