Healthcare Provider Details

I. General information

NPI: 1417250218
Provider Name (Legal Business Name): AMBER LYNN RASMUSSEN APRN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMBER LYNN KRAFT RN CNP

II. Dates (important events)

Enumeration Date: 12/16/2010
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 E LEIGH ST
RICHMOND VA
23298-5004
US

IV. Provider business mailing address

MAYO CLINIC HEALTH SYSTEM 401 FOUNTAIN ST
ALBERT LEA MN
56007
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-4409
  • Fax: 804-806-7588
Mailing address:
  • Phone: 507-373-2384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR 158944-9
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number29
License Number StateMN
# 3
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number0024188428
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: