Individual
AMANDA C BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 830-6877
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5741
(920) 996-3264
(920) 830-5970
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3991
WI
363AM0700X
Medical Physician Assistant
0110-004153
VA
Other
Enumeration date
03/18/2013
Last updated
09/17/2019
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