Most Relevant Information
Provider Data
| NPI Number: | 1003329475 |
| Provider Name: | AMANDA ANN KNAAPEN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 196640 |
Most Important Dates
| Enumeration Date: | 11/08/2017 |
| Last Updated: | 11/08/2017 |
Provider Practice Location
355 STATE ROAD 128
WILSON
WI
540272448
Practice Location Phone/Fax
| Phone: | 7153072636 |
| Fax: |
Provider Mailing Location
355 STATE ROAD 128
WILSON
WI
540272448
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |