NPI 1003136391

Blaine Amstadt

Practitioner Registered Nurse Monico, WI

Practice location

Address: 1645 Pederson St, Monico, WI 54501-7716
Phone: (715) 490-0570

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 169353 (WI)

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Registry record

NPI: 1003136391
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jun 2010
Record last updated: 9 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.