Individual
AMANDA ANN KNAAPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
355 STATE ROAD 128, WILSON, WI 54027-2448
(715) 307-2636
Mailing address
355 STATE ROAD 128, WILSON, WI 54027-2448
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
196640
WI
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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