AMANDA LARSON

MILWAUKEE, WI
NPI1154887453
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: WI  9077-33)
Enumeration Date2019-02-12
Last Update Date2019-03-05
Business Address
AMANDA LARSON APRN
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Phone number: 414-266-6943
Mailing Address
AMANDA LARSON APRN
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226-4874
Phone number: 414-266-6943