Individual
MRS. AMANDA M KOTOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4855 S MOORLAND RD, 3RD FLOOR, NEW BERLIN, WI 53151-7494
(262) 432-7599
(262) 432-7694
Mailing address
9000 W WISCONSIN AVE, MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2644
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41265600
—
WI
Enumeration date
05/19/2006
Last updated
10/29/2014
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