Individual
AMANDA L MAYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
646 N 95TH ST, MILWAUKEE, WI 53226-4436
(608) 931-5284
Mailing address
646 N 95TH ST, MILWAUKEE, WI 53226-4436
(608) 931-5284
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
163466-30
WI
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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