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Individual

MRS. AMANDA L SHEFCHIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
744 S WEBSTER AVE FL 2, GREEN BAY, WI 54301-3505
(920) 433-3640
(920) 433-3716
Mailing address
744 S WEBSTER AVE FL 2, GREEN BAY, WI 54301-3505
(920) 433-3640
(920) 433-3716

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
134756-030
WI
163W00000X
Registered Nurse
134756-30
WI
363L00000X
Nurse Practitioner
Primary
2563-033
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41259200
WI
Enumeration date
05/18/2006
Last updated
03/09/2011
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