Individual
AMANDA M MASTROFINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3577 W 13 MILE RD STE 204, ROYAL OAK, MI 48073-6710
(248) 551-2446
(248) 551-1094
Mailing address
29992 NORTHWESTERN HWY STE C, FARMINGTON HILLS, MI 48334-3292
(248) 851-1430
(248) 851-5182
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704288346
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285118919
—
MI
01
—
4704288346
STATE LICENSE
MI
01
—
MI4989654
MEDICARE PROVIDER NUMBER
MI
Enumeration date
09/19/2018
Last updated
12/18/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us