IndividualActive
Amy Hanneman, RN MSN AGNP
NPI 1750770640 · Adult Health Nurse Practitioner · Wausau, WI
Provider details
- NPI number
- 1750770640
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN MSN AGNP
- Sex
- Female
- Sole proprietor
- No
- License
- 113915-30 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
425 Pine Ridge Blvd
Suite 300
Wausau, WI 54401-4123
Phone: (715) 847-2019
Fax: (715) 843-1315
Approximate (ZIP-level) locationGet directions
Mailing address
425 Pine Ridge Blvd
Wausau, WI 54401-4123
Registry dates
- Enumerated
- 2015-01-14
- Last updated
- 2015-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.