Individual
AMANDA MARIE PELLETIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4967 CROOKS RD STE 250, TROY, MI 48098-5809
(248) 654-6499
Mailing address
4967 CROOKS RD STE 250, TROY, MI 48098-5809
(248) 654-6499
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704319507
MI
Other
Enumeration date
03/25/2024
Last updated
03/21/2025
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