Verhaalen, Amy

Verhaalen, Amy is an individual health care provider with primary practice located at 975 Port Washington Rd Suite 310, Grafton WI 53024-9201. 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. Verhaalen, Amy can be contacted via phone (262) 329-8150.

Contact Information

Primary practice address
975 Port Washington Rd Suite 310 Grafton WI 53024-9201
Phone: (262) 329-8150
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 109663 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1860 Wisconsin

Profile Details

NPI number 1215983408
LBN Legal business name Verhaalen, Amy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Dec 6th, 2021 - 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 1215983408 NPPES
Wisconsin MEDICAID 1215983408
Wisconsin Other 005006261D

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