Individual
AMANDA REPITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
915 3RD ST, KEWAUNEE, WI 54216-1668
(920) 388-2458
Mailing address
915 3RD ST, KEWAUNEE, WI 54216-1668
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
154382-30
WI
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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