MEDICARE: MRS. PERKALOAH AMANDA QUEEGLAY-TARPEH RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	R 148120-4	MN

General Provider Information

NPI Number	:	1043551666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PERKALOAH AMANDA QUEEGLAY-TARPEH RN

Provider Business Mailing Address
First Line	:	19485 BOSTON ST NW
Second Line	:
City	:	ELK RIVER
State	:	MN
Zip	:	55330-4121
Country	:	US
Telephone Number	:	612-387-6629
Fax Number	:

Provider Business Practice Location Address
First Line	:	19485 BOSTON ST NW
Second Line	:
City	:	ELK RIVER
State	:	MN
Zip	:	55330-4121
Country	:	US
Telephone Number	:	612-695-4971
Fax Number	:	763-544-1816

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2013
Last Update Date	:	04/14/2017

Similar Medicare Providers

1114404829 — ACCOUNTABLE HOME CARE SERVICES LLC
Practice Location Address:

19485 BOSTON ST NW
ELK RIVER, MN
55330-4121

Practice Phone: 612-387-6629
Practice Fax: 763-276-1206

1023176682 — DR. JOSEPH ANTHONY DECORSO JR. MD
Practice Location Address:

20 MONTREAL CT
TOMS RIVER, NJ
08757-4121

Practice Phone: 973-699-1830
Practice Fax:

1417446873 — SUPERB HEALTH CARE INC
Practice Location Address:

4121 RIVER BIRCH RD
FORT WORTH, TX
76137-1187

Practice Phone: 818-987-7861
Practice Fax:

1083458665 — ASHLIN CRAWFORD
Practice Location Address:

4121 KINGS RIVER TRL
BAUXITE, AR
72011-5017

Practice Phone: 870-740-5708
Practice Fax:

1861348955 — DANIEL Z FAYIAH
Practice Location Address:

19437 EVANS ST NW
ELK RIVER, MN
55330-1074

Practice Phone: 763-515-3532
Practice Fax:

1427728575 — BRITTANY MARIE LAMACK
Practice Location Address:

530 3RD ST NW
ELK RIVER, MN
55330-1445

Practice Phone: 763-587-4800
Practice Fax:

Directions to “ MRS. PERKALOAH AMANDA QUEEGLAY-TARPEH RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.