Amanda Deremo
Organization Active NPI Exclusive Provider Organization · Janesville, WI
NPI 1922400563 · NPPES record last updated Sep 25, 2014
Key facts
- NPI
- 1922400563
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Exclusive Provider Organization 302F00000X
- License
- 318603 (WI)
- Legal business name
- AMANDA DEREMO
- Practice address
- 82 Falling Creek Cir
Janesville, WI 53548-9106 - Phone
- (608) 449-1399
- NPI assigned
- Sep 25, 2014
- Organization subpart
- No
Authorized official
- Name
- Amanda Deremo
- Title
- Employer
- Phone
- (608) 449-1399
Practitioners 1
-
Amanda Deremo, LPN
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 318603 | WI | Yes |
Addresses
Primary practice location
82 Falling Creek Cir
Janesville, WI 53548-9106
Mailing address
82 Falling Creek Cir
Janesville, WI 53548-9106
Phone (608) 449-1399
Other providers in Janesville, WI
- Kendra Lee Allen
- Rachel Diane Allen
- Omar Alnaser
- Giuseppe A Altamore
- Arthur Mark Altbuch
- Jenny Rebecca Amani
- Melissa R Amertil
- Ams of Wisconsin-Janesville, LLC
- Rebecca Amstutz
- Yone Amuka
All providers in Janesville, WI · Exclusive Provider Organization in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2014. 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.