Individual
AMANDA SERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1500 CABERFAE HWY, MANISTEE, MI 49660-8902
(231) 723-8272
Mailing address
5563 ARCHER RD, BRETHREN, MI 49619-9717
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704316313
MI
363LF0000X
Family Nurse Practitioner
Primary
4704316313
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704316313
STATE OF MICHIGAN
MI
01
—
NA
ANCC
MI
Enumeration date
10/06/2017
Last updated
11/17/2023
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