Mrs. Amanda M Manders
Nurse Practitioner - Adult Health
9200 W Wisconsin Ave
Milwaukee
, Wisconsin 53226-3522
Mrs. Amanda M Manders
Nurse Practitioner - Adult Health
9200 W Wisconsin Ave
Milwaukee
, Wisconsin 53226-3522
(414) 805-6864
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Mrs. Amanda M Manders
- 9200 W Wisconsin Ave
- Milwaukee, WI
- Zip : 53226-3522
- Fax : (414) 805-6864
- Phone : (414) 805-6850
Second Address
- Mrs. Amanda M Manders
- 9200 W Wisconsin Ave
- Milwaukee, WI
- Zip : 53226-3522
- Fax : (414) 805-6864
- Phone : (414) 805-6850
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 4909-33 | WI |
National Provider Identifier
| NPI | 1003156613 |
|---|---|
| Provider Name | Mrs. Amanda M Manders |
| First Address | Milwaukee, WI 53226-3522 |
| Second Address | Milwaukee, WI 53226-3522 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/02/2013 |
| Last Update Date | 27/09/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003156613 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.