Individual provider · Type 1 NPI

Amanda Rose Landolt, FNP-C

Nurse Practitioner · Green Bay, WI

NPI number 1649007469 Active

Practice location

2502 S Ashland Ave
Green Bay, WI 54304-5252

Mailing address

PO Box 19070
Green Bay, WI 54307-9070

Other practice locations

  • 2793 Lineville Rd, Green Bay, WI 54313-7152 · (920) 496-4700

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X15732-33 (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 1649007469

Amanda Rose Landolt, FNP-C's National Provider Identifier is 1649007469, issued on Sep 16, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Green Bay, WI. The record was last updated on Dec 20, 2024.