Individual
AMY J PARENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
12601 W HAMPTON AVE, SUITE 100A, BUTLER, WI 53007-1705
(262) 373-1869
Mailing address
2816 S 49TH ST, MILWAUKEE, WI 53219-3315
(414) 327-0714
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2461-033
WI
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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