Individual
AMANDA PUNZENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 649-6000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
251781
WI
363L00000X
Nurse Practitioner
Primary
14381
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100253088
—
WI
Enumeration date
06/22/2023
Last updated
10/26/2023
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