AMANDA BLACKTHORN

MADISON, WI
NPI1750750931
Former NameAMANDA BEAL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  6642)
Enumeration Date2015-09-17
Last Update Date2022-03-01
Business Address
AMANDA BLACKTHORN APNP
1821 S STOUGHTON RD
MADISON, WI 53716-2257
Phone number: 608-260-6000
Mailing Address
AMANDA BLACKTHORN APNP
1821 S STOUGHTON RD
MADISON, WI 53716-2257
Phone number: 608-260-6000