Individual
AMANDA RUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
551 KROLL RD, SOBIESKI, WI 54171-9734
(920) 609-5696
Mailing address
551 KROLL RD, SOBIESKI, WI 54171-9734
(920) 609-5696
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13740-33
WI
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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