AMANDA CLARK-KRAUSE NP NPI 1194167809

NPI Information

NPI: 1194167809
Provider Name: AMANDA CLARK-KRAUSE, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1155 N MAYFAIR RD
PLANK ROAD CLINIC
MILWAUKEE, WI
ZIP 53226
Phone: (414) 955-5990
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Amanda Clark-krause, NP is an adult health nurse practitioner in Milwaukee, WI with 11 years of experience. Amanda Clark-krause, NP NPI is 1194167809. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1155 N MAYFAIR RD
PLANK ROAD CLINIC
MILWAUKEE, WI
ZIP 53226-462
Phone: (414) 955-5990
Fax: (414) 955-6282

The NPI 1194167809 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/23/2013 and was last updated on 7/23/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	134595	WISCONSIN	No
2	363LA2200X	Nurse Practitioner	Adult Health	134595	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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