Search › Wisconsin › 363A00000X
Amanda Peters, PA
NPI 1063046761 · on the registry since 2020
Practice
- Address
- 964 W Ryan St
Brillion, WI 54110 - Phone
- (920) 756-2055
- Fax
- (920) 756-3350
- Organisation at this address
- Vernon J. Goin D.D.S. S.C.
Bel-Regional Home Medical IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 1976 Lime Kiln Rd, Green Bay, WI
- 2015 Shawano Ave, Green Bay, WI
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin