Individual
AMANDA HABERLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
N6004 RENDEZVOUS RD, LUXEMBURG, WI 54217-8370
(920) 495-7057
Mailing address
N6004 RENDEZVOUS RD, LUXEMBURG, WI 54217-8370
(920) 495-7057
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
196446
WI
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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