Molback, Amanda Sue

Molback, Amanda Sue is an individual health care provider with primary practice located at 2321 Stout Rd , Menomonie WI 54751-7003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Molback, Amanda Sue can be contacted via phone (715) 235-5531.

Contact Information

Primary practice address
2321 Stout Rd Menomonie WI 54751-7003
Phone: (715) 235-5531
Fax: (715) 233-7645
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4987-33 Wisconsin

Profile Details

NPI number 1083963219
LBN Legal business name Molback, Amanda Sue
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2012
Last updated Feb 16th, 2021 - about 5 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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