Individual
AMANDA L CISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3422 MCCANN DR, JANESVILLE, WI 53546-4452
(920) 723-9277
Mailing address
3422 MCCANN DR, JANESVILLE, WI 53546-4452
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
226967-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100172843
—
WI
05
—
1497337612
—
WI
Enumeration date
04/27/2021
Last updated
12/29/2025
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