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Amanda Larson, APRN
Pediatric Nurse Practitioner in Milwaukee, Wisconsin
NPI 1154887453

Amanda Larson is a Pediatric Nurse Practitioner based in Milwaukee, WI and is specialized in Pediatrics. Amanda Larson practices in Milwaukee, WI and has the professional credentials of APRN. The NPI Number for Amanda Larson is 1154887453 and holds a License No. 9077-33 (Wisconsin).

The current practice location address for Amanda Larson is 9000 W Wisconsin Ave, Milwaukee, WI and can be reached out via phone at 414-266-6943 and via fax at 414-266-2926.

Location: 9000 W Wisconsin Ave, Milwaukee, WI, 53226-4874
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Provider Profile Details
NPI Number
1154887453
Provider Name
Amanda Larson
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
9000 W Wisconsin Ave, Milwaukee, WI, 53226-4874
Phone Number
414-266-6943
Fax Number
414-266-2926
Provider Enumeration Date
02/12/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1154887453 05 WI
institution
Provider Business Practice Location Address Details
Address
9000 W Wisconsin Ave
City
State
Zip
53226
Phone Number
414-266-6943
Fax Number
414-266-2926
person
Provider Business Mailing Address Details
Address
9000 W Wisconsin Ave
City
State
Zip
53226
Phone Number
414-266-6943
Fax Number
414-266-2926
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
9077-33 (Wisconsin)
Definition
Definition to come...
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