Individual
AMANDA MOSED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22639 RUST RD, NEW BOSTON, MI 48164-9665
(313) 980-7772
Mailing address
22639 RUST RD, NEW BOSTON, MI 48164-9665
(313) 980-7772
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704306260
MI
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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