Individual
AMANDA NICHOLE BRUHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704303573
MI
363LP0200X
Pediatric Nurse Practitioner
4704303573
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295269355
—
MI
Enumeration date
04/16/2017
Last updated
03/13/2025
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