Individual
AMY S LOOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
505 S WASHBURN ST, OSHKOSH, WI 54904-7949
(920) 232-2332
Mailing address
N9139 N COOP RD APT G, APPLETON, WI 54915-9517
(920) 418-2390
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
191438-30
WI
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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