Individual
AMANDA J MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
451 JUNCTION RD, MADISON, WI 53717-2656
(608) 265-7700
(608) 265-7020
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
151991
WI
Other
Enumeration date
09/18/2007
Last updated
04/28/2009
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