Individual
AMANDA BOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
30695 LITTLE MACK AVE STE 500, ROSEVILLE, MI 48066-1772
(313) 401-0256
Mailing address
7179 TURTLE CREEK CT APT 3B, PERRYSBURG, OH 43551-7488
(419) 324-9661
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704372464
MI
Other
Enumeration date
09/10/2019
Last updated
10/19/2025
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