Individual
BARBARA AMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
400 HOBART ST, CADILLAC, MI 49601-2331
(231) 876-6421
Mailing address
3782 MOMENTUM PL, CHICAGO, IL 60689-5337
(231) 876-6421
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AG0115069
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598155020
—
MI
Enumeration date
02/05/2015
Last updated
08/24/2020
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