Individual
AMANDA BOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
44344 DEQUINDRE RD STE 460, STERLING HEIGHTS, MI 48314-1042
(586) 262-5060
Mailing address
9685 FOREST RIDGE DR, CLARKSTON, MI 48348-4156
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704302659
MI
Other
Enumeration date
10/07/2018
Last updated
10/07/2018
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