Bristina, Amra

Bristina, Amra is an individual health care provider with primary practice located at 2215 44Th St Sw , Wyoming MI 49519-6439. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bristina, Amra can be contacted via phone (616) 252-8300.

Contact Information

Primary practice address
2215 44Th St Sw Wyoming MI 49519-6439
Fax: (616) 252-8460
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704296387 Michigan

Profile Details

NPI number 1699256784
LBN Legal business name Bristina, Amra
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2018
Last updated Oct 9th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699256784 NPPES
Michigan MEDICAID 1699256784

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