Kotowski, Amanda M

Kotowski, Amanda M is an individual health care provider with primary practice located at 4855 S Moorland Rd 3Rd Floor, New Berlin WI 53151-7494. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kotowski, Amanda M can be contacted via phone (262) 432-7599.

Contact Information

Primary practice address
4855 S Moorland Rd 3Rd Floor New Berlin WI 53151-7494
Phone: (262) 432-7599
Fax: (262) 432-7694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2644 Wisconsin

Profile Details

NPI number 1093768871
LBN Legal business name Kotowski, Amanda M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Oct 29th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093768871 NPPES
Wisconsin MEDICAID 41265600

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