Individual
MRS. AMANDA MAE BACHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
7563 PARADISE DR, GRAND BLANC, MI 48439-8598
(810) 422-3333
Mailing address
16001 W 9 MILE RD # 3, SOUTHFIELD, MI 48075-4818
(248) 849-2600
(248) 849-2610
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704228627
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0310
—
MI
Enumeration date
10/14/2021
Last updated
01/12/2022
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