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Amanda Tanner
Family Nurse Practitioner in Ferndale, Michigan
NPI 1861122541

Amanda Tanner is a Family Nurse Practitioner based in Ferndale, MI and is specialized in Family. Amanda Tanner practices in Ferndale, MI. The NPI Number for Amanda Tanner is 1861122541 and holds a License No. 4704327018 (Michigan).

The current practice location address for Amanda Tanner is 1603 E 9 Mile Rd, Ferndale, MI and can be reached out via phone at 248-514-4955.

Location: 1603 E 9 Mile Rd, Ferndale, MI, 48220-2065
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861122541
Provider Name
Amanda Tanner
Credential
Provider Entity Type
Individual
Gender
Female
Address
1603 E 9 Mile Rd, Ferndale, MI, 48220-2065
Phone Number
248-514-4955
Fax Number
Provider Enumeration Date
06/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1603 E 9 Mile Rd
City
Ferndale
State
Michigan
Zip
48220-2065
Phone Number
248-514-4955
Fax Number
person
Provider Business Mailing Address Details
Address
1603 E 9 Mile Rd
City
Ferndale
State
Michigan
Zip
48220-2065
Phone Number
248-514-4955
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704327018 (Michigan)
Definition
Definition to come...
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