Manali Amin

NPI #1699423574 in Shawano, Wisconsin

Provider Information

NPI Number: 1699423574
Entity Type: Individual
Name: Manali Amin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Enumeration Date: Mar 10, 2022
Last Updated: Apr 28, 2022

Practice Location

Address: 100 COUNTY ROAD B
City: Shawano
State: Wisconsin
ZIP Code: 54166-7072
Phone: (715) 526-8270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X
Nurse Practitioner	363L00000X	Primary

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