Individual
AMANDA EBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5629 STADIUM DR STE A, KALAMAZOO, MI 49009-1952
(269) 372-1000
(269) 372-0698
Mailing address
5629 STADIUM DR STE A, KALAMAZOO, MI 49009-1952
(269) 372-1000
(269) 372-0698
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
4704404031
MI
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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