Individual
AMANDA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1853 R W BERENDS DR SW, WYOMING, MI 49519-4955
(616) 534-9301
Mailing address
1010 RUDDIMAN DR, MUSKEGON, MI 49445-2932
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704353334
MI
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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