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Amanda Catherine Lares, FNP-BC
Family Nurse Practitioner in Grand Rapids, Michigan
NPI 1578960464

Amanda Catherine Lares is a Family Nurse Practitioner based in Chicago, MI and is specialized in Family. Amanda Catherine Lares practices in Grand Rapids, MI and has the professional credentials of FNP-BC. The NPI Number for Amanda Catherine Lares is 1578960464 and holds a License No. 4704276338 (Michigan).

The current practice location address for Amanda Catherine Lares is 100 Michigan St Ne, Grand Rapids, MI and can be reached out via phone at 616-391-1680.

Location: 100 Michigan St Ne, Grand Rapids, MI, 60689-5325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578960464
Provider Name
Amanda Catherine Lares
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
100 Michigan St Ne, Grand Rapids, MI, 60689-5325
Phone Number
616-391-1680
Fax Number
Provider Enumeration Date
11/21/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Michigan St Ne
City
Grand Rapids
State
Michigan
Zip
49503-2560
Phone Number
616-391-1680
Fax Number
person
Provider Business Mailing Address Details
Address
100 Michigan St Ne
City
Grand Rapids
State
Michigan
Zip
49503-2560
Phone Number
616-391-1680
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704276338 (Michigan)
Definition
Definition to come...
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