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NPI Code Detail

MEDICARE: AMY PADILLA NP-C

MEDICARE:   AMY  PADILLA  NP-C
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
1363LF0000XFamily Nurse PractitionerANP0000007891TN

General Provider Information

NPI Number : 1215181631
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY PADILLA NP-C
Provider Business Mailing Address
First Line : 4165 30TH AVE S
Second Line : SUITE 101
City : FARGO
State : ND
Zip : 58104-8419
Country : US
Telephone Number : 866-825-3227
Fax Number : 866-397-7399
Provider Business Practice Location Address
First Line : 4200 REGENT ST STE 200
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-6229
Country : US
Telephone Number : 877-870-1775
Fax Number : 614-968-8840
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2008
Last Update Date : 09/22/2025

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Directions to “ AMY PADILLA NP-C” Practice Location

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