Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda M Moen, MD

Individual provider Neurology with Special Qualifications in Child Neurology Physician · NPI 1154563401

Amanda M Moen, MD is a Neurology with Special Qualifications in Child Neurology Physician in Minneapolis, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 365-6777
Fax: (612) 365-8021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 University Ave E, Saint Paul, MN 55101-2507 — (651) 720-2803

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X · Licence 58414 (MN)
Neurology with Special Qualifications in Child Neurology Physician Taxonomy 2084N0402X · Licence 107634 (MN)

Record details

NPI number1154563401
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2009
Last updated in NPPESApril 4, 2019
Mailing address200 University Ave E, Saint Paul, MN 55101-2507

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