Individual
AMANDA DERNBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP, NP-C
Contact information
Practice address
191 THEATER RD, ONALASKA, WI 54650-8679
(608) 392-5000
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0002
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6723-33
WI
363LF0000X
Family Nurse Practitioner
6723-33
WI
Other
Enumeration date
11/22/2015
Last updated
01/29/2024
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