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General NPI Number Information
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NPI Number | 1720787237
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Entity Type | Individual
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Provider Name | AMANDA SUE WOLLSCHLAGER APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/23/2023
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 201 1ST ST E STE 220
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City | PARK RAPIDS
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State | MN
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Zip | 56470-1612
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Country | US
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Telephone | 218-203-9215
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Fax | 479-482-3600
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Provider Business Mailing Address
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Address Line | 201 1ST ST E STE 220
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City | PARK RAPIDS
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State | MN
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Zip | 56470-1612
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Country | US
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Telephone | 218-203-9215
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Fax | 479-482-3600
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 9976
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License Number State | MN
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