Individual
AMANDA RUTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8314 CLAYTON AVE, NEENAH, WI 54956-9359
(920) 841-0445
Mailing address
8314 CLAYTON AVE, NEENAH, WI 54956-9359
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201600-30
WI
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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