Individual provider · Type 1 NPI

Amanda Larson, APRN

Pediatric Nurse Practitioner · Milwaukee, WI

NPI number 1154887453 Active

Practice location

9000 W Wisconsin Ave
Milwaukee, WI 53226

Call (414) 266-6943 Map

Fax (414) 266-2926

Other practice locations

  • 8915 W Connell Ave, Milwaukee, WI 53226-3067 · (414) 266-6943
  • 8915 W Connell Ave, Milwaukee, WI 53226-3067 · (414) 266-6943

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X9077-33 (WI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1154887453

Amanda Larson, APRN's National Provider Identifier is 1154887453, issued on Feb 12, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Milwaukee, WI. The record was last updated on Mar 5, 2019.