Individual
AMANDA GRIMSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
10701 W RESEARCH DR, WAUWATOSA, WI 53226-3452
(414) 443-4000
Mailing address
4159 S 63RD ST, GREENFIELD, WI 53220-3004
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9084
WI
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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