AMANDA ANN FARRELL

LAKE GENEVA, WI
NPI1124451414
Former NameAMANDA A JOYCE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  7219-33)
Additional Taxonomies163W00000X Registered Nurse
(Licence: WI  194211-30)
Enumeration Date2013-08-09
Last Update Date2017-02-28
Business Address
-- AMANDA ANN FARRELL APRN
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147-2655
Phone number: 262-245-4990
Mailing Address
-- AMANDA ANN FARRELL APRN
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147-2655
Phone number: 262-245-4990