Individual
AMANDA AHRENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201
(517) 788-4800
Mailing address
PO BOX 64000, DRAWER 541535, DETROIT, MI 48264-0001
(734) 786-8052
(734) 786-4932
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704237420
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704237420
MI
Other
Enumeration date
05/11/2010
Last updated
03/29/2021
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