Individual
AMANDA QUINONEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
3400 MARKET LN, KENOSHA, WI 53144-3430
(262) 551-4600
(262) 551-4630
Mailing address
3400 MARKET LN, KENOSHA, WI 53144-3430
(262) 551-4600
(262) 551-4630
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9394-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9394-33
APNP LICENSE
WI
Enumeration date
08/22/2019
Last updated
03/30/2020
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