Individual
MS. AMANDA S ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
205 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-4112
Mailing address
205 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-4112
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5675-33
WI
363LF0000X
Family Nurse Practitioner
Primary
5675
WI
Other
Enumeration date
02/11/2014
Last updated
03/07/2023
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