Hiemstra, Amanda J

Hiemstra, Amanda J is an individual health care provider with primary practice located at 608 W Brown St , Waupun WI 53963-1788. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hiemstra, Amanda J can be contacted via phone (920) 324-6803.

Contact Information

Primary practice address
608 W Brown St Waupun WI 53963-1788
Phone: (920) 324-6803
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6994-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6994-33 Wisconsin

Profile Details

NPI number 1922458785
LBN Legal business name Hiemstra, Amanda J
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2016
Last updated Dec 20th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922458785 NPPES
Wisconsin MEDICAID 100058649

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