Individual provider · Type 1 NPI

Amanda Kay Douma, APNP

Family Nurse Practitioner · New London, WI

NPI number 1043697048 Active

Practice location

1405 Mill St
New London, WI 54961-2155

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070

Other practice locations

  • 333 N Green Bay Rd Ste B, Neenah, WI 54956-1954 · (920) 454-7130
  • 420 E Division St, Fond Du Lac, WI 54935-4560 · (920) 926-8570

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X6264 (WI)

Family Nurse Practitioner: Definition to come...

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About NPI 1043697048

Amanda Kay Douma, APNP's National Provider Identifier is 1043697048, issued on Apr 29, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New London, WI. The record was last updated on Jun 3, 2025.