Individual
AMANDA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1685 BALDWIN AVE STE 100, PONTIAC, MI 48340-1242
(248) 706-3450
Mailing address
1685 BALDWIN AVE STE 100, PONTIAC, MI 48340-1242
(248) 706-3450
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704322794
MI
Other
Enumeration date
05/23/2026
Last updated
05/23/2026
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