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Individual

AMY IRENE PEASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-5442
(608) 265-1753
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
140139-030
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
2896-033
WI

Other

Enumeration date
05/16/2007
Last updated
07/02/2013
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