Individual
AMANDA KATE WALTRIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 E 1ST ST STE 201, FLINT, MI 48502-1900
(810) 262-9773
(810) 262-7308
Mailing address
1 HURLEY PLZ, FLINT, MI 48503-5902
(810) 262-9953
(810) 262-9483
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704181802
MI
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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