Individual
AMY LEE KURTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4102
(715) 847-2121
Mailing address
923 SCOTT ST, WAUSAU, WI 54403-4952
(171) 588-1041
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
165947
WI
363LF0000X
Family Nurse Practitioner
Primary
10567
WI
Other
Enumeration date
10/23/2020
Last updated
12/01/2020
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