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Ms. Amanda Renee Sullivan, AGACNP
Acute Care Nurse Practitioner in Milwaukee, Wisconsin
NPI 1538837166

Amanda Renee Sullivan is an Acute Care Nurse Practitioner based in Milwaukee, WI and is specialized in Acute Care. Amanda Renee Sullivan practices in Milwaukee, WI and has the professional credentials of AGACNP. The NPI Number for Amanda Renee Sullivan is 1538837166 and holds a License No. 11297 (Wisconsin).

The current practice location address for Amanda Renee Sullivan is 9200 W Wisconsin Ave, Milwaukee, WI and can be reached out via phone at 414-805-4050 and via fax at 414-805-0855.

Location: 9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
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Provider Profile Details
NPI Number
1538837166
Provider Name
Amanda Renee Sullivan
Credential
AGACNP
Provider Entity Type
Individual
Gender
Female
Address
9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
Phone Number
414-805-4050
Fax Number
414-805-0855
Provider Enumeration Date
08/30/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1538837166 05 WI
institution
Provider Business Practice Location Address Details
Address
9200 W Wisconsin Ave
City
State
Zip
53226-3522
Phone Number
414-805-4050
Fax Number
414-805-0855
person
Provider Business Mailing Address Details
Address
9200 W Wisconsin Ave
City
State
Zip
53226-3522
Phone Number
414-805-4050
Fax Number
414-805-0855
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
11297 (Wisconsin)
Definition
Definition to come...
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