Provider Demographics
NPI:1073366464
Name:ENGET, AMANDA M (CAREGIVER)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:M
Last Name:ENGET
Suffix:
Gender:F
Credentials:CAREGIVER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 1ST ST SE
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-5964
Mailing Address - Country:US
Mailing Address - Phone:701-770-1393
Mailing Address - Fax:
Practice Address - Street 1:1405 1ST ST SE
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-5964
Practice Address - Country:US
Practice Address - Phone:701-770-1393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care