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NPI Code Detail

MEDICARE: MS. AMY JO ROLFZEN CNP

MEDICARE: MS. AMY JO ROLFZEN CNP
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 Practitioner85938NM
2363LF0000XFamily Nurse Practitioner14232167UT
3363LF0000XFamily Nurse PractitionerNUR-APRN-LIC-271542MT
4363LF0000XFamily Nurse Practitioner0736MN
5363LF0000XFamily Nurse Practitioner10048698OR
6363LF0000XFamily Nurse Practitioner11036031FL
7363LF0000XFamily Nurse Practitioner95034070CA
8363LF0000XFamily Nurse Practitioner2025023184MO
9363LF0000XFamily Nurse Practitioner327882AZ

General Provider Information

NPI Number : 1336134626
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMY JO ROLFZEN CNP
Provider Business Mailing Address
First Line : 1040 GRAND AVE
Second Line :
City : SAINT PAUL
State : MN
Zip : 55105-3001
Country : US
Telephone Number : 651-224-2155
Fax Number :
Provider Business Practice Location Address
First Line : 1040 GRAND AVE
Second Line :
City : SAINT PAUL
State : MN
Zip : 55105-3001
Country : US
Telephone Number : 651-224-2155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 11/06/2025

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