Individual
MR. AMIN NAMAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
725 AMERICAN AVE., PROHEALTH CARE WAUKESHA MEMORIAL HOSPITAL, WAUKESHA, WI 53188-5099
(262) 928-1000
Mailing address
W193S8810 WIND CREST CT, MUSKEGO, WI 53150-7872
(414) 217-3718
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5933-33
WI
363LA2200X
Adult Health Nurse Practitioner
5933-33
WI
Other
Enumeration date
05/06/2015
Last updated
06/16/2020
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