IndividualActive
Amanda Farrell, APRN
NPI 1124451414 · Nurse Practitioner · Lake Geneva, WI
Provider details
- NPI number
- 1124451414
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 7219-33 (WI)
Practice location
N2950 State Road 67
Lake Geneva, WI 53147-2655
Phone: (262) 245-4990
Fax: (262) 245-2248
Mailing address
N2950 State Road 67
Lake Geneva, WI 53147-2655
Registry dates
- Enumerated
- 2013-08-09
- Last updated
- 2017-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.