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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

AMANDA GRAHAM, FNP
6297 DIXIE HWY
BRIDGEPORT CHARTER TOWNSHIP, MI48722-9635
 Phone: 989-759-6460
 Fax: 989-759-6465
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AMANDA GRAHAM · (Female)

NPI Number 1447500137
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 09/11/2012
Last updated 09/11/2012 - About 4 years ago
Sole proprietor 1 No
Identifiers
MI License # 4704260551
Hospital affiliation(s)
  • COVENANT MEDICAL CENTER INC - (Acute Care)
    1447 N HARRISON
    SAGINAW, MI 48602
  • ST MARY'S OF MICHIGAN MEDICAL CENTER - (Acute Care)
    800 S WASHINGTON AVENUE
    SAGINAW, MI 48601
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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