Shefchik, Amanda L

Shefchik, Amanda L is an individual health care provider with primary practice located at 744 S Webster Ave Fl 2 , Green Bay WI 54301-3505. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Shefchik, Amanda L can be contacted via phone (920) 433-3640.

Contact Information

Primary practice address
744 S Webster Ave Fl 2 Green Bay WI 54301-3505
Fax: (920) 433-3716
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 134756-030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2563-033 Wisconsin
Nursing Service Providers / Registered Nurse 163W00000X 134756-30 Wisconsin

Profile Details

NPI number 1336192707
LBN Legal business name Shefchik, Amanda L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Mar 9th, 2011 - about 13 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 1336192707 NPPES
Wisconsin MEDICAID 41259200

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