Individual
AMANDA MAE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1516 S COMMERCIAL ST, NEENAH, WI 54956-4802
(920) 725-0077
Mailing address
7587 EVERGREEN DR W, WAUPACA, WI 54981-9643
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4998-33
WI
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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