Individual
AMANDA MARIE WOLTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1900 WEALTHY ST SE STE 100, GRAND RAPIDS, MI 49506-2972
(616) 267-7333
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704303749
MI
Other
Enumeration date
09/11/2018
Last updated
09/26/2025
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