Individual
AMY AGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
W7524 HARLEY DR, DELAVAN, WI 53115-2664
(262) 203-2756
Mailing address
W7524 HARLEY DR, DELAVAN, WI 53115-2664
(262) 203-2756
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
187204-30
WI
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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