AMANDA LYNN NIENHAUS

GRAND RAPIDS, MI
NPI1699217273
Former NameAMANDA LYNN CONE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601008068)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-11-14
Last Update Date2022-08-11
Business Address
AMANDA LYNN NIENHAUS PA
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-3139
Mailing Address
AMANDA LYNN NIENHAUS PA
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: