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Amanda Lee Suino-malcolm, APRN,CNP
Family Nurse Practitioner in Hayward, Wisconsin
NPI 1356684880

Amanda Lee Suino-malcolm is a Family Nurse Practitioner based in Hayward, WI and is specialized in Family. Amanda Lee Suino-malcolm practices in Hayward, WI and has the professional credentials of APRN,CNP. The NPI Number for Amanda Lee Suino-malcolm is 1356684880 and holds a License No. 141483-30 (Wisconsin).

The current practice location address for Amanda Lee Suino-malcolm is 13447 W County Road B, Hayward, WI and can be reached out via phone at 715-558-7883 and via fax at 715-558-7348.

Location: 13447 W County Road B, Hayward, WI, 54843-2259
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356684880
Provider Name
Amanda Lee Suino-malcolm
Credential
APRN,CNP
Provider Entity Type
Individual
Gender
Female
Address
13447 W County Road B, Hayward, WI, 54843-2259
Phone Number
715-558-7883
Fax Number
715-558-7348
Provider Enumeration Date
04/03/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1356684880 05 WI
institution
Provider Business Practice Location Address Details
Address
13447 W County Road B
City
Hayward
State
Wisconsin
Zip
54843-2259
Phone Number
715-558-7883
Fax Number
715-558-7348
person
Provider Business Mailing Address Details
Address
13447 W County Road B
City
Hayward
State
Wisconsin
Zip
54843-2259
Phone Number
715-558-7883
Fax Number
715-558-7348
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
141483-30 (Wisconsin)
Definition
Definition to come...
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