Individual
MS. AMANDA SUE HUTCHINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17421 TELEGRAPH RD, DETROIT, MI 48219-3165
(313) 531-2500
Mailing address
2622 CASS ST, DEARBORN, MI 48124-2633
(313) 433-2701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704345274
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704345274
BOARD OF NURSING REGISTERED NURSE LICENSE
MI
Enumeration date
02/12/2020
Last updated
02/12/2020
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