Individual
AMANDA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5250 AUTO CLUB DR STE 200, DEARBORN, MI 48126-2619
(313) 203-5300
Mailing address
25879 TIMBER TRL, DEARBORN HEIGHTS, MI 48127-4107
(313) 433-4612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704362368
MI
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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