Provider Demographics
NPI:1417483488
Name:DAMRAU, AMBER (APRN, FNP)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:DAMRAU
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:NICOLE
Other - Last Name:DAMRAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1000 N OAK AVE
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54449-5702
Mailing Address - Country:US
Mailing Address - Phone:153-875-5117
Mailing Address - Fax:
Practice Address - Street 1:MARSHFIELD CLINIC STEVENS POINT CENTER
Practice Address - Street 2:4100 STATE HIGHWAY 66
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54482
Practice Address - Country:US
Practice Address - Phone:715-343-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI158437-30163W00000X
WI15922-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse