Individual
DR. AMY MANDERSCHEID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, AGPCNP-BC
Contact information
Practice address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704242360
MI
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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