Provider Demographics
NPI:1689266389
Name:TONG, AMY KRISTINE (DNP, APRN, ACNS-BC)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:KRISTINE
Last Name:TONG
Suffix:
Gender:F
Credentials:DNP, APRN, ACNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 26TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:MN
Mailing Address - Zip Code:55112-6315
Mailing Address - Country:US
Mailing Address - Phone:612-695-9847
Mailing Address - Fax:
Practice Address - Street 1:1321 26TH AVE NW
Practice Address - Street 2:
Practice Address - City:NEW BRIGHTON
Practice Address - State:MN
Practice Address - Zip Code:55112-6315
Practice Address - Country:US
Practice Address - Phone:612-695-9847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-04
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN0498364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health