Individual provider · Type 1 NPI
Amanda Clark-Krause, NP
Adult Health Nurse Practitioner · Milwaukee, WI
NPI number
1194167809
Active
Practice location
1155 N Mayfair Rd, Plank Road Clinic
Milwaukee, WI 53226-3462
Fax (414) 955-6282
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 134595 (WI) |
| Gerontology Nurse Practitioner | 363LG0600X | 134595 (WI) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1194167809
Amanda Clark-Krause, NP's National Provider Identifier is 1194167809, issued on Jul 23, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 23, 2013.