Individual provider · Type 1 NPI
Amanda L. King, NP
Pediatric Nurse Practitioner · Milwaukee, WI
NPI number
1104109768
Active
Practice location
9000 W Wisconsin Ave, Pediatric Critical Care
Milwaukee, WI 53226-4874
Fax (414) 266-3563
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 165109 (WI) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1104109768
Amanda L. King, NP's National Provider Identifier is 1104109768, issued on Sep 21, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Milwaukee, WI. The record was last updated on Aug 8, 2012.