Individual
AMY M CROATT-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(414) 385-2590
Mailing address
2901 W KINNICKINNIC RIVER PKWY STE 315, MILWAUKEE, WI 53215-3660
(414) 385-2590
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7891-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100070855
—
WI
Enumeration date
08/14/2017
Last updated
06/29/2023
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