Individual
BETH AMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6379 SILVER LAKE RD, LINDEN, MI 48451-8706
(810) 735-7847
(810) 735-7159
Mailing address
3495 S CENTER RD, BURTON, MI 48519-1455
(810) 424-2011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704178411
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477692671
—
MI
Enumeration date
02/05/2007
Last updated
07/14/2017
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