Individual
AMANDA PENTLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
445 W MICHIGAN AVE, KALAMAZOO, MI 49007-3750
(269) 488-5460
Mailing address
24445 BROWNSTONE BLVD, MATTAWAN, MI 49071-7814
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704272783
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704272783
NURSE PRACTITIONER SPECIALTY CERTIFICATION
MI
Enumeration date
12/16/2018
Last updated
01/21/2019
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