| Doctor Name: | ANNE AMANI |
| NPI Number: | 1285064162 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 5456-33 |
| Business Practice Address: | 100 15th Ave South Milwaukee, WI - 531721160 |
| Business Phone Number: | 4147685430 |
| Business Fax Number: | |
| Mailing Address: | 7964 N 107th St Apt 6, MILWAUKEE |
| State: | WI |
| Postal Code: | 532243140 |
| Phone Number: | 4147049465 |
| Fax Number: | |
| NPI Enumeration Date: | 11/14/2013 |
| NPI Last Update Date: | 11/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 5456-33 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |