Individual
MS. AMY J. KORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
159 PENNY LN SE, BYRON CENTER, MI 49315-9799
(616) 827-0144
(616) 827-0144
Mailing address
159 PENNY LN SE, BYRON CENTER, MI 49315-9799
(616) 827-0144
(616) 827-0144
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704200922
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704200922
CRNA LICENSE
MI
05
—
4936735
—
MI
Enumeration date
10/27/2006
Last updated
11/21/2008
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