Individual
MRS. AMANDA KAY DOUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1405 MILL ST, NEW LONDON, WI 54961-2155
(920) 531-2021
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 531-2021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6264
WI
Other
Enumeration date
04/29/2015
Last updated
06/03/2025
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