Individual provider · NPI-1

Amanda M Adams, NP

Nurse Practitioner · Madison, WI

NPI number1023366598
StatusActive
Last updated in NPPESMay 6, 2019

Details

NPI
1023366598
Entity type
Individual (NPI-1)
Name
Amanda M Adams
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Aug 15, 2012
Last updated
May 6, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner5151WIYes
363L00000X Nurse Practitioner150824WI

Practice location

7234 Arctic Fox Dr
Madison, WI 53719-6217

Phone 608-395-0744

Mailing address

7234 Arctic Fox Dr
Madison, WI 53719-6217

Is something wrong?

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