Individual
AMY ELIZABETH SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
4118 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-3605
(616) 455-7300
Mailing address
6574 DUTTON TRAIL DR SE, CALEDONIA, MI 49316-8393
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704295691
MI
Other
Enumeration date
12/05/2018
Last updated
02/19/2019
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