Amanda M Nellis, PA-C

NPI #1396978847 in Hudson, Wisconsin

Provider Information

NPI Number: 1396978847
Entity Type: Individual
Name: Amanda M Nellis, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 1, 2009
Last Updated: Sep 1, 2009

Practice Location

Address: 403 STAGELINE RD
City: Hudson
State: Wisconsin
ZIP Code: 54016-7848
Phone: (715) 531-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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