Individual
AMANDA FETTEROLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
815 N CLARE AVE STE B, HARRISON, MI 48625-8177
(989) 539-6731
Mailing address
1680 BEACHWAY, GLADWIN, MI 48624-9343
(989) 387-2487
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704226162
MI
Other
Enumeration date
06/27/2019
Last updated
06/27/2022
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