Individual
AMANDA K WESTMORELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
820 ARBUTUS AVE, OCONTO, WI 54153-2004
(920) 835-1100
(920) 835-1099
Mailing address
820 ARBUTUS AVE, OCONTO, WI 54153-2004
(920) 835-1100
(920) 835-1099
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1979
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1979
LICENSE
WI
Enumeration date
06/01/2006
Last updated
08/02/2012
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