Provider Demographics
NPI:1255125779
Name:EMELE, AMANDA CHINYERE (RN, BSN, MSN, PHN)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:CHINYERE
Last Name:EMELE
Suffix:
Gender:
Credentials:RN, BSN, MSN, PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:953 N 7TH ST APT 202
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411-4321
Mailing Address - Country:US
Mailing Address - Phone:763-843-9177
Mailing Address - Fax:612-377-4449
Practice Address - Street 1:953 N 7TH ST APT 202
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-4321
Practice Address - Country:US
Practice Address - Phone:763-843-9177
Practice Address - Fax:612-377-4449
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2478659163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse