| Amanda Carol Houghtaling, FNP | |
|
211 E Mill St, Pelican Rapids, MN 56572-4234 | |
| (218) 863-6100 | |
| Not Available |
| Full Name | Amanda Carol Houghtaling |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 211 E Mill St, Pelican Rapids, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770090094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5631 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Perham Health | Perham, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center Fargo | 8426967803 | 1125 |
| Entity Name | Perham Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932113768 PECOS PAC ID: 2264327766 Enrollment ID: O20040216000182 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110701000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Carol Houghtaling, FNP Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Amanda Carol Houghtaling, FNP 211 E Mill St, Pelican Rapids, MN 56572-4234 Ph: (218) 863-6100 |
Shayla Marie Jegtvig, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14947 S Lake Olaf Rd, Pelican Rapids, MN 56572 Phone: 218-790-3794 | |
Emily Kalina, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 E Mill St, Pelican Rapids, MN 56572 Phone: 218-863-6100 |