Individual
AMANDA WINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, RCS
Contact information
Practice address
4902 65TH ST, KENOSHA, WI 53142-3151
(262) 995-4199
Mailing address
4902 65TH ST, KENOSHA, WI 53142-3151
(262) 995-4199
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
219610
WI
Other
Enumeration date
11/05/2019
Last updated
01/04/2022
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