Suino-Malcolm, Amanda Lee

Suino-Malcolm, Amanda Lee is an individual health care provider with primary practice located at 13447 W County Road B , Hayward WI 54843-2259. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Suino-Malcolm, Amanda Lee can be contacted via phone (715) 558-7883.

Contact Information

Primary practice address
13447 W County Road B Hayward WI 54843-2259
Phone: (715) 558-7883
Fax: (715) 558-7348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 141483-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5436-33 Wisconsin

Profile Details

NPI number 1356684880
LBN Legal business name Suino-Malcolm, Amanda Lee
Credentials APRN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2013
Last updated Jan 27th, 2022 - about 4 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 1356684880 NPPES
Wisconsin MEDICAID 1356684880

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