Individual
MRS. AMANDA LOUISE MOEGGENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1049 E NEWELL ST, WHITE CLOUD, MI 49349-8795
(231) 689-7330
(231) 787-1304
Mailing address
1049 E NEWELL ST, WHITE CLOUD, MI 49349-8795
(231) 689-7330
(231) 787-1304
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704249865
MI
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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