Individual
AMANDA MARIE WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1706 EL SEGUNDO AVE, WESTON, WI 54476-3829
(715) 551-5293
Mailing address
1706 EL SEGUNDO AVE, WESTON, WI 54476-3829
(715) 551-5293
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
251036
WI
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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