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Individual

LEAH KRISTINE AMOROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, RN, FNP-BC

Contact information

Practice address
12701 TELEGRAPH RD STE 103, TAYLOR, MI 48180-4087
(734) 374-0500
(734) 374-2415
Mailing address
12701 TELEGRAPH RD STE 103, TAYLOR, MI 48180-4087
(734) 374-0500
(734) 374-2415

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704285935
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0868833
BCBSM PIN
MI
05
1073172326
MI
Enumeration date
06/11/2019
Last updated
07/21/2021
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