| NPI | 1558027052 |
|---|---|
| Other Name | AMANDA MAE MIDDENDORF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 11435) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 11435) |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2025-04-24 |