NPI 1134668221

Amanda Kay Crooks, PAC

Practitioner Physician Assistant Manitowoc, WI

Practice location

Address: 2300 Western Ave, Manitowoc, WI 54220-3712
Phone: (920) 320-2011
Mailing address: 1650 S 41st St, Manitowoc, WI 54220-7316

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 3982-23 (WI)

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Registry record

NPI: 1134668221
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Feb 2017
Record last updated: 25 Oct 2021

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.