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NPI Code Detail

MEDICARE: AMY SUSAN KUEBLER APNP

MEDICARE: AMY SUSAN KUEBLER APNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner2174-033WI

General Provider Information

NPI Number : 1235121435
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY SUSAN KUEBLER APNP
Provider Business Mailing Address
First Line : 400 W GLEN ST
Second Line :
City : CRANDON
State : WI
Zip : 54520-1355
Country : US
Telephone Number : 715-478-6300
Fax Number : 715-478-6340
Provider Business Practice Location Address
First Line : 400 W GLEN ST
Second Line :
City : CRANDON
State : WI
Zip : 54520-1355
Country : US
Telephone Number : 715-478-6300
Fax Number : 715-478-6340
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2005
Last Update Date : 11/10/2023

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