Provider Demographics
NPI:1811780067
Name:EQUIO, AMABELLE (RN)
Entity type:Individual
Prefix:
First Name:AMABELLE
Middle Name:
Last Name:EQUIO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 FREEDOM LN
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:MN
Mailing Address - Zip Code:55328-2300
Mailing Address - Country:US
Mailing Address - Phone:952-297-5236
Mailing Address - Fax:
Practice Address - Street 1:1302 FREEDOM LN
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:MN
Practice Address - Zip Code:55328-2300
Practice Address - Country:US
Practice Address - Phone:952-297-5236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1895450163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0000XNursing Service ProvidersRegistered NurseWound Care