Mastrofini, Amanda M

Mastrofini, Amanda M is an individual health care provider with primary practice located at 3577 W 13 Mile Rd Ste 204 , Royal Oak MI 48073-6710. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Mastrofini, Amanda M can be contacted via phone (248) 551-2446.

Contact Information

Primary practice address
3577 W 13 Mile Rd Ste 204 Royal Oak MI 48073-6710
Phone: (248) 551-2446
Fax: (248) 551-1094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 4704288346 Michigan

Profile Details

NPI number 1285118919
LBN Legal business name Mastrofini, Amanda M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2018
Last updated Dec 18th, 2018 - about 6 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 1285118919 NPPES
Michigan MEDICAID 1285118919
Michigan Other 4704288346
Michigan Other MI4989654

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