Individual provider · Type 1 NPI
Amanda Sue Molback, N.P.
Nurse Practitioner · Menomonie, WI
Practice location
2321 Stout Rd
Menomonie, WI 54751-7003
Fax (715) 233-7645
Mailing address
200 1st St SW
Rochester, MN 55905-0002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4987-33 (WI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1083963219
Amanda Sue Molback, N.P.'s National Provider Identifier is 1083963219, issued on Sep 4, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Menomonie, WI. The record was last updated on Feb 16, 2021.