Individual provider · NPI-1

Nicole S Amass, NP

Nurse Practitioner · Madison, WI

NPI number1992769509
StatusActive
Last updated in NPPESFeb 24, 2009

Details

NPI
1992769509
Entity type
Individual (NPI-1)
Name
Nicole S Amass
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Apr 12, 2006
Last updated
Feb 24, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner112284WIYes
363L00000X Nurse Practitioner1676WI

Practice location

451 Junction Rd
Madison, WI 53717

Phone 608-263-8915 · Fax 608-265-5755

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Phone 608-829-5485

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