Smith, Amanda R

Smith, Amanda R is an individual health care provider with primary practice located at 3916 N Intertech Ct , Appleton WI 54913-6957. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Smith, Amanda R can be contacted via phone (920) 996-1000.

Contact Information

Primary practice address
3916 N Intertech Ct Appleton WI 54913-6957
Phone: (920) 996-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3318-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3318-33 Wisconsin

Profile Details

NPI number 1306010004
LBN Legal business name Smith, Amanda R
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2008
Last updated Mar 7th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306010004 NPPES
Wisconsin MEDICAID 1306010004

Popular Providers