Individual
MS. AMANDA MARIE HEGEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
2047 N COMMERCE ST, MILWAUKEE, WI 53212-3484
(414) 699-7553
Mailing address
2047 N COMMERCE ST, MILWAUKEE, WI 53212-3484
(414) 699-7553
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
158907030
WI
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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