person
Amanda M Mastrofini, NP
Gerontology Nurse Practitioner in Royal Oak, Michigan
NPI 1285118919

Amanda M Mastrofini is a Gerontology Nurse Practitioner based in Farmington Hills, MI and is specialized in Gerontology. Amanda M Mastrofini practices in Royal Oak, MI and has the professional credentials of NP. The NPI Number for Amanda M Mastrofini is 1285118919 and holds a License No. 4704288346 (Michigan).

The current practice location address for Amanda M Mastrofini is 3577 W 13 Mile Rd Ste 204, Royal Oak, MI and can be reached out via phone at 248-551-2446 and via fax at 248-551-1094. You can also correspond with Amanda M Mastrofini through the mailing address at 29992 NORTHWESTERN HWY STE C, FARMINGTON HILLS, MI - 48334-3292 (mailing address contact number: 248-851-1430).

Location: 3577 W 13 Mile Rd Ste 204, Royal Oak, MI, 48334-3292
person
Provider Profile Details
NPI Number
1285118919
Provider Name
Amanda M Mastrofini
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3577 W 13 Mile Rd Ste 204, Royal Oak, MI, 48334-3292
Phone Number
248-551-2446
Fax Number
248-551-1094
Provider Enumeration Date
09/19/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1285118919 05 MI
4704288346 01 MI STATE LICENSE
MI4989654 01 MI MEDICARE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
3577 W 13 Mile Rd Ste 204
City
State
Zip
48073-6710
Phone Number
248-551-2446
Fax Number
248-551-1094
person
Provider Business Mailing Address Details
Address
29992 Northwestern Hwy Ste C
City
State
Zip
48334-3292
Phone Number
248-851-1430
Fax Number
248-851-5182
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
4704288346 (Michigan)
Definition
Definition to come...
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