Individual
AMANDA NESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8623
(414) 805-8641
Mailing address
1812 E HOWARD AVE, MILWAUKEE, WI 53207-4000
(414) 559-5285
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
9427-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982258828
—
WI
Enumeration date
07/29/2019
Last updated
01/26/2021
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