Individual
AMANDA GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP/CRNA
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 391-1609
Mailing address
1824 LAFAYETTE AVE NE, GRAND RAPIDS, MI 49505-4741
(734) 516-4751
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704338615
MI
Other
Enumeration date
06/19/2023
Last updated
01/26/2024
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