Individual
AMANDA RITA ATTISHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
11051 HALL RD STE 200, UTICA, MI 48317-5742
(862) 545-7595
(586) 254-5793
Mailing address
20952 E 12 MILE RD STE 200, SAINT CLAIR SHORES, MI 48081-3203
(586) 771-4820
(586) 771-7960
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704289098
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518356633
—
MI
Enumeration date
01/13/2015
Last updated
08/09/2022
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