Mendoza, Amanda

Mendoza, Amanda is an individual health care provider with primary practice located at 300 Lafayette Ave Se Ste 2045 , Grand Rapids MI 49503-4692. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mendoza, Amanda can be contacted via phone (616) 685-3098.

Contact Information

Primary practice address
300 Lafayette Ave Se Ste 2045 Grand Rapids MI 49503-4692
Phone: (616) 685-3098
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601011572 Michigan

Profile Details

NPI number 1013620707
LBN Legal business name Mendoza, Amanda
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2022
Last updated Jun 11th, 2024 - about 2 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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