Healthcare Provider Details

I. General information

NPI: 1942139159
Provider Name (Legal Business Name): AMANDA FREMSTAD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50851 EAST ST
OSSEO WI
54758-7108
US

IV. Provider business mailing address

N48886 COUNTY ROAD O
OSSEO WI
54758-8608
US

V. Phone/Fax

Practice location:
  • Phone: 715-597-3141
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number233155-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: