Hendriksen, Amber Rose
Hendriksen, Amber Rose is an individual health care provider with primary practice located at 1507 Doctors Ct , Watertown WI 53094-4101. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hendriksen, Amber Rose can be contacted via phone (920) 261-4111.Contact Information
Primary practice address
1507 Doctors Ct
Watertown WI 53094-4101
Phone: (920) 261-4111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 9490 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9490 | Wisconsin |
Profile Details
| NPI number | 1881244358 |
|---|---|
| LBN Legal business name | Hendriksen, Amber Rose |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 17th, 2019 |
| Last updated | Mar 3rd, 2023 - 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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