Individual provider · Type 1 NPI
Amanda Rose Landolt, FNP-C
Nurse Practitioner · Green Bay, WI
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
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 15732-33 (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.