Individual provider · Type 1 NPI
Amanda McConville
Psychiatric/Mental Health Nurse Practitioner · Portage, WI
NPI number
1063259489
Active
Practice location
2901 Hunters Trl
Portage, WI 53901-3403
Fax (608) 268-9780
Mailing address
119 Prairie Heights Dr
Verona, WI 53593-2333
Other practice locations
- 119 Prairie Heights Dr, Verona, WI 53593-2333 · (608) 370-3641
- 2702 International Ln Ste 102, Madison, WI 53704-3117 · (608) 405-5712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 15536 (WI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 15536 (WI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
39 other providers at this address
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- Bailey A. Moskowitz, MSMental Health Counselor Portage, WI NPI 1497689665
- Bennett F. Mortensen, MS, LPCProfessional Counselor Portage, WI NPI 1982358735
- Brent Erickson, MS, SACSocial Worker Portage, WI NPI 1295836567
- Carol Johnson, MS, LPCMental Health Counselor Portage, WI NPI 1326076225
- Claire A. Staley, APSWSocial Worker Portage, WI NPI 1164086112
- Daelynn M. Phares, MS, LPC-ITMental Health Counselor Portage, WI NPI 1689495095
- Dorothy Mae McCurdy, SACAddiction (Substance Use Disorder) Counselor Portage, WI NPI 1881823912
- Elizabeth Abbs EricksonAddiction (Substance Use Disorder) Counselor Portage, WI NPI 1649697988
- Gillian H. Luchsinger, MSW, APSWSocial Worker Portage, WI NPI 1194659235
Other psychiatric/mental health nurse practitioner providers in Portage
About NPI 1063259489
Amanda McConville's National Provider Identifier is 1063259489, issued on Jul 12, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portage, WI. The record was last updated on Mar 27, 2026.