| Doctor Name: | MRS. AMANDA M MANDERS |
| NPI Number: | 1003156613 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APNP |
| License Number: | 4909-33 |
| Business Practice Address: | 10701 W Research Dr Milwaukee, WI - 532263452 |
| Business Phone Number: | 9202519248 |
| Business Fax Number: | |
| Mailing Address: | 10701 W Research Dr, MILWAUKEE |
| State: | WI |
| Postal Code: | 532263452 |
| Phone Number: | 9202519248 |
| Fax Number: | |
| NPI Enumeration Date: | 02/18/2013 |
| NPI Last Update Date: | 07/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 4909-33 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |