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Contact Information

AMANDA R ATTISHA, FNP-C
11051 HALL RD STE 200
UTICA, MI48317-5742
 Phone: 862-545-7595
 Fax: 586-254-5793
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AMANDA R ATTISHA · (Female)

NPI # 1518356633
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 01/13/2015
Last updated 08/09/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704289098
  • MI Medicaid 1518356633
Hospital affiliation(s)
  • ST JOHN HOSPITAL AND MEDICAL CENTER - (Acute Care)
    22101 MOROSS RD
    DETROIT, MI 48236
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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