IndividualActive
Amanda Larson, APRN
NPI 1154887453 · Pediatric Nurse Practitioner · Milwaukee, WI
Provider details
- NPI number
- 1154887453
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 9077-33 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9000 W Wisconsin Ave
Milwaukee, WI 53226
Phone: (414) 266-6943
Fax: (414) 266-2926
Approximate (ZIP-level) locationGet directions
Mailing address
9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Additional practice locations (2)
- 8915 W Connell AveMilwaukee, WI 53226-3067Phone: (414) 266-6943
- 8915 W Connell AveMilwaukee, WI 53226-3067Phone: (414) 266-6943
Registry dates
- Enumerated
- 2019-02-12
- Last updated
- 2019-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.