Individual
MRS. AMANDA ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2025 S WASHINGTON AVE, LANSING, MI 48910-0828
(855) 336-6707
Mailing address
1441 CHARLOTTE LANDING RD, SPRINGPORT, MI 49284-9411
(517) 749-1556
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704264790
MI
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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