Individual
AMANDA G BLADES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
81 N I75 BUSINESS LOOP, GRAYLING, MI 49738-7405
(989) 348-7400
(888) 821-5005
Mailing address
1725 GREEN LAWN DR, GRAWN, MI 49637-9666
(231) 357-6310
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704330527
MI
Other
Enumeration date
07/06/2021
Last updated
08/25/2021
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