Individual
DR. AMY JO KJELDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, APNP, OCN
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-4405
(608) 265-1700
Mailing address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 288-7222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60726494
WA
363L00000X
Nurse Practitioner
Primary
8160-33
WI
363LF0000X
Family Nurse Practitioner
AP60726497
WA
Other
Enumeration date
01/20/2017
Last updated
01/14/2021
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