Individual
AMANDA BROOKE ARISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9099 E LANSING RD STE B, DURAND, MI 48429-1083
(989) 288-0400
(989) 288-7862
Mailing address
9099 E LANSING RD STE B, DURAND, MI 48429-1083
(989) 288-0400
(989) 288-7862
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704250060
MI
363LF0000X
Family Nurse Practitioner
Primary
4704250060
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093231870
—
MI
Enumeration date
08/14/2017
Last updated
02/11/2019
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