Individual
MRS. AMY SUE GUMIENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
700 PARK RIDGE LN, NORTH FOND DU LAC, WI 54937-1385
(920) 926-7800
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7526
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100064831
—
WI
Enumeration date
01/13/2017
Last updated
04/29/2024
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