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NPI Code Detail

MEDICARE: DR. AMY CRAWFORD BLITZER NP-C, DNP, RN

MEDICARE: DR. AMY CRAWFORD BLITZER NP-C, DNP, 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
1363LS0200XSchool Nurse PractitionerA0914005MN

General Provider Information

NPI Number : 1063815025
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY CRAWFORD BLITZER NP-C, DNP, RN
Provider Business Mailing Address
First Line : 555 CEDAR ST
Second Line :
City : SAINT PAUL
State : MN
Zip : 55101-2209
Country : US
Telephone Number : 651-266-1255
Fax Number :
Provider Business Practice Location Address
First Line : 360 COLBORNE ST
Second Line :
City : SAINT PAUL
State : MN
Zip : 55102-3299
Country : US
Telephone Number : 651-767-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2014
Last Update Date : 04/15/2026

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