Individual
AMANDA MENTJES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 E NEWPORT AVE FL NWQ-D7, MILWAUKEE, WI 53211-2906
(414) 229-7429
(414) 229-4161
Mailing address
2025 E NEWPORT AVE FL NWQ-D7, MILWAUKEE, WI 53211-2906
(414) 229-7429
(414) 229-4161
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5596-33
WI
Other
Enumeration date
12/19/2013
Last updated
01/19/2023
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