Individual
MRS. AMANDA LYNNE HUYCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024166853
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
4704269636
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010269733
—
VA
Enumeration date
05/16/2006
Last updated
12/10/2019
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