Individual
MRS. IRENE MARILYN AMUNDSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
W7201 COUNTY ROAD C, BURNETT, WI 53922-9779
(920) 324-3801
Mailing address
W7201 COUNTY ROAD C, BURNETT, WI 53922-9779
(920) 324-3801
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
52614030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38273500
—
WI
Enumeration date
11/21/2005
Last updated
07/08/2007
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