Individual
AMANDA MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
624 CHERRY ST SE APT 5, GRAND RAPIDS, MI 49503-4778
(269) 718-8612
Mailing address
624 CHERRY ST SE APT 5, GRAND RAPIDS, MI 49503-4778
(269) 718-8612
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704292297
MI
Other
Enumeration date
10/14/2020
Last updated
03/10/2026
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