Individual
AMANDA NICOLE PISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
E6112 E BLUFFVIEW RD STE 101, IRONWOOD, MI 49938-9367
(906) 932-2231
(906) 932-2620
Mailing address
2400 PINE RIDGE BLVD, WAUSAU, WI 54401-7803
(715) 847-2022
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704254562
MI
363LF0000X
Family Nurse Practitioner
4704254562
MI
Other
Enumeration date
03/21/2016
Last updated
02/23/2021
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