Provider Demographics
NPI:1992990881
Name:NEUMANN, AIMEE NICHOLE (CNP)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:NICHOLE
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5636 28TH AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417-2732
Mailing Address - Country:US
Mailing Address - Phone:952-451-8623
Mailing Address - Fax:866-478-9620
Practice Address - Street 1:5636 28TH AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2732
Practice Address - Country:US
Practice Address - Phone:952-451-8623
Practice Address - Fax:866-478-9620
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR178659-8364SW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN139809F210OtherUCARE
MN918113200Medicaid
MN139809F210OtherUCARE