Amanda L Muehlbauer, RN
Individual provider Active NPI Registered Nurse · Brillion, WI
NPI 1497195077 · NPPES record last updated Jun 27, 2013
Key facts
- NPI
- 1497195077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 195909 - 30 (WI)
- Practice address
- W985 Hacker Rd Apt 5
Brillion, WI 54110-9158 - Phone
- (920) 810-1792
- NPI assigned
- Jun 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 195909 - 30 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 195909 - 30 | WI | Yes |
Addresses
Primary practice location
W985 Hacker Rd Apt 5
Brillion, WI 54110-9158
Mailing address
W985 Hacker Rd Apt 5
Brillion, WI 54110-9158
Phone (920) 810-1792
Other providers in Brillion, WI
- Emma Knier
- Courtney Koffarnus
- Janet A Matuszak
- Michael J Micksch
- Paula Montes Fuentes
- Orthopedic & Spine Therapy of
- Orthopedic & Spine Therapy of Brillion, SC
- Melissa Ann Paulow
- Holly Lynn Pautz
- Amanda Nicole Peters
All providers in Brillion, WI · Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.