AMANDA DECKER
NPI 1053779769
Licensed Practical Nurse in Waverly, MN

Q: What is Amanda Decker's NPI number?

The NPI number for Amanda Decker is 1053779769. It was assigned to this individual provider in the NPPES registry on February 9, 2016.

Q: What is Amanda Decker's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Decker was last updated on February 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 09, 2016

3102 25TH ST SW, WAVERLY, MN 55390(612) 702-9300 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Amanda Decker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA DECKER (NPI 1053779769) is an individual licensed practical nurse in Waverly, Minnesota, licensed in Minnesota (L074677-5) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1053779769

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameAMANDA DECKER

Location Address3102 25TH ST SWWaverly, MN 55390-5043

Mailing Address3102 25th St SwWaverly, MN 55390-5043 · (612) 702-9300

Phone(612) 702-9300

Sole ProprietorNo

Enumeration DateFebruary 9, 2016

✔ NPI 1053779769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MN · L074677-5

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

3102 25TH ST SW, Waverly, MN 55390

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Decker's NPI number?

The NPI number for Amanda Decker is 1053779769. It was assigned to this individual provider in the NPPES registry on February 9, 2016.

Where is Amanda Decker located?

Amanda Decker practices at 3102 25th St SW, Waverly, MN 55390. The listed phone number is (612) 702-9300.

What is Amanda Decker's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Amanda Decker was last updated on February 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.