Individual
AMY MARIE MARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3040 MEADOWLARK LN STE 2, ALTOONA, WI 54720-2846
(715) 882-9292
Mailing address
719 W HAMILTON AVE STE B, EAU CLAIRE, WI 54701-6970
(715) 552-9784
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
11053-33
WI
363LF0000X
Family Nurse Practitioner
Primary
11053
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2021
Last updated
07/08/2025
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