Nellis, Amanda M

Nellis, Amanda M is an individual health care provider with primary practice located at 403 Stageline Rd , Hudson WI 54016-7848. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Nellis, Amanda M can be contacted via phone (715) 531-6800.

Contact Information

Primary practice address
403 Stageline Rd Hudson WI 54016-7848
Phone: (715) 531-6800
Fax: (715) 531-6801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Wisconsin

Profile Details

NPI number 1396978847
LBN Legal business name Nellis, Amanda M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2009
Last updated Sep 1st, 2009 - about 17 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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