Individual
AMANDA NOVITSKI-JUEDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13075-033
WI
363LN0000X
Neonatal Nurse Practitioner
13075-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100215711
—
WI
Enumeration date
08/22/2022
Last updated
08/29/2024
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