Individual provider · Type 1 NPI

Amanda Grace White, RN

Registered Nurse · Beaver Dam, WI

NPI number 1790603082 Active

Practice location

707 S University Ave
Beaver Dam, WI 53916-3027

Mailing address

PO Box 441
Reeseville, WI 53579-0441

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X1122580-30 (WI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1790603082

Amanda Grace White, RN's National Provider Identifier is 1790603082, issued on Jul 6, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Beaver Dam, WI. The record was last updated on Jul 6, 2026.