Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA NICOLE PETERS, PA
ActiveAMANDA NICOLE PETERS, PA is a Physician Assistant healthcare provider located in BRILLION, Wisconsin. NPI 1063046761 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BRILLION, WI
Registration Details
- NPI Number
- 1063046761
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 3, 2020 (6.439143972803 yrs)
- Last Updated
- Jan 3, 2023
- License
-
5094 (WI)
Practice Information
- Address
-
964 W RYAN STBRILLION, WI, 541101076Browse WI providers · Browse ZIP 54110
- Phone
- 9207562055
- Fax
- 9207563350
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BRILLION, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. HOLLY LYNN PAUTZ | PA - C | 1699971978 |
| JACOB R WARRENS | PA | 1972925790 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.