Healthcare Provider Details

I. General information

NPI: 1417483488
Provider Name (Legal Business Name): AMBER DAMRAU APRN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMBER NICOLE DAMRAU RN

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 10/03/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MARSHFIELD CLINIC STEVENS POINT CENTER 4100 STATE HIGHWAY 66
STEVENS POINT WI
54482
US

IV. Provider business mailing address

1000 N OAK AVE
MARSHFIELD WI
54449-5702
US

V. Phone/Fax

Practice location:
  • Phone: 715-343-7700
  • Fax:
Mailing address:
  • Phone: 153-875-5117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number158437-30
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number15922-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: