Individual
AMY LEIGH HIBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 EAST MEDICAL CENTER DRIVE, 2ND FLOOR TAUBMAN CENTER RECP F, ANN ARBOR, MI 48109-5332
(734) 936-5738
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704263923
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704263923
MI
Other
Enumeration date
02/19/2014
Last updated
03/06/2017
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