Individual
AMANDA MARIE SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3100
(414) 259-1145
Mailing address
6169 N 116TH ST, MILWAUKEE, WI 53225-1102
(920) 960-4855
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
8743-33
WI
Other
Enumeration date
01/14/2019
Last updated
02/19/2020
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