Individual
AMANDA SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3942 S STATE ROAD 213, ORFORDVILLE, WI 53576-9555
(262) 751-9474
Mailing address
3942 S STATE ROAD 213, ORFORDVILLE, WI 53576-9555
(262) 751-9474
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
160119-30
WI
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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