Individual
MRS. AMANDA MARIE CHARNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
704 S WEBSTER AVE, GREEN BAY, WI 54301-3528
(920) 433-7984
(920) 433-7974
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12111-33
WI
Other
Enumeration date
07/29/2022
Last updated
05/10/2023
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