Individual
AMANDA LEE BONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
N20W22961 WATERTOWN RD, WAUKESHA, WI 53186-1308
(262) 290-5990
Mailing address
8950 S 83RD ST, FRANKLIN, WI 53132-9770
(414) 731-2164
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
18130-33
WI
363LG0600X
Gerontology Nurse Practitioner
Primary
18130-33
WI
Other
Enumeration date
03/10/2026
Last updated
03/18/2026
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