Individual
MS. AMBER LEE CARLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
2500 E CAPITOL DR, SUITE 700, APPLETON, WI 54911-8735
(902) 734-9600
Mailing address
2500 E CAPITOL DR, SUITE 700, APPLETON, WI 54911-8735
(902) 734-9600
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5953
WI
363LG0600X
Gerontology Nurse Practitioner
5953
WI
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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