SearchWisconsin163W00000X

Amy Grandadam, RN

NPI 1356050033 · on the registry since 2022

Practice

Address
N1790 N Woodyard Rd
Shell Lake, WI 54871
Phone
(715) 416-5265

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-11-21

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