Amanda Lynn Oeder, PA
Physician Assistant in Waukesha, WI. Individual provider (NPI-1).
NPI number1053936088
StatusActive
Last updated in NPPESJun 30, 2025
Details
- NPI
- 1053936088
- Entity type
- Individual (NPI-1)
- Name
- Amanda Lynn Oeder
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2020
- Certification date
- Jun 30, 2025
- Last updated
- Jun 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5504 | WI | Yes |
| 363A00000X | Physician Assistant | PA.0009263 | CO | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
N16w24131 Riverwood DrWaukesha, WI 53188-1106
Phone 262-696-0909
Mailing address
1902 E Broadway Apt 420Waukesha, WI 53186-8183
Phone 920-492-9201
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All 86 Physician Assistant providers in Waukesha · All 3,394 providers in Waukesha
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