Provider Demographics
NPI:1508007378
Name:KLOPP, AMY CHRISTINE ERICKSON (APRN, CNS, CNP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:CHRISTINE ERICKSON
Last Name:KLOPP
Suffix:
Gender:F
Credentials:APRN, CNS, CNP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:CHRISTINE
Other - Last Name:ERICKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:401 HARDING ST NE STE 100
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413-2801
Mailing Address - Country:US
Mailing Address - Phone:612-398-7000
Mailing Address - Fax:
Practice Address - Street 1:401 HARDING ST NE STE 100
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55413-2801
Practice Address - Country:US
Practice Address - Phone:612-398-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR-142668-3364SA2200X
MN6073363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health