Individual
MISS AMANDA LYNE BARTELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
8153 S 27TH ST STE 600, FRANKLIN, WI 53132-9557
(414) 761-1802
(414) 301-9101
Mailing address
713 W LARABEE ST, PORT WASHINGTON, WI 53074-1718
(262) 355-5507
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14106
WI
363LF0000X
Family Nurse Practitioner
14106
WI
Other
Enumeration date
06/20/2023
Last updated
02/12/2024
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