Individual
AMANDA M CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1896
(517) 364-6801
Mailing address
13225 WATERCREST DR, DEWITT, MI 48820-8501
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
4704257040
MI
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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