Individual
AMANDA MARIE COURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1910 ALABAMA ST, STURGEON BAY, WI 54235-3532
(920) 746-7200
Mailing address
5330 SILVERDALE RD, STURGEON BAY, WI 54235-9385
(920) 680-5559
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8530-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100079994
—
WI
Enumeration date
07/26/2018
Last updated
11/29/2021
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