AMANDA LEE SUINO-MALCOLM APRN CNP NPI 1356684880

NPI Information

  • NPI: 1356684880
  • Provider Name: AMANDA LEE SUINO-MALCOLM, APRN, CNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 13447 W COUNTY ROAD B
    HAYWARD, WI
    ZIP 54843
  • Phone: (715) 558-7883

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NPI Details

Amanda Lee Suino-malcolm, APRN, CNP is a family nurse practitioner in Hayward, WI with 13 years of experience. Amanda Lee Suino-malcolm, APRN, CNP NPI is 1356684880. 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:

13447 W COUNTY ROAD B
HAYWARD, WI
ZIP 54843-259
Phone: (715) 558-7883
Fax: (715) 558-7348

The NPI 1356684880 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 4/3/2013 and was last updated on 1/27/2022.

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
1363LF0000XNurse PractitionerFamily141483-30WISCONSINNo
2363LF0000XNurse PractitionerFamily5436-33WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11356684880MEDICAIDWISCONSIN

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: 11/21/2025

NPI Synchronization or Removal

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