AMANDA BROOKE ARISS (NPI# 1093231870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093231870 |
| Entity Type | Individual |
| Full Name | AMANDA BROOKE ARISS |
| Credential | FNP |
| Practice Address |
9099 E Lansing Rd Ste B Durand MI 48429-1083 |
| Practice Telephone | 9892880400 |
| Practice Fax Number | 9892887862 |
| Mailing Telephone | 9892880400 |
| Mailing Fax Number | 9892887862 |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2019-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4704250060 | MI | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704250060 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1093231870 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1330 Carr St, Owosso, MI 488674006 | (810) 691-5240 |
| Street Address |
9099 E LANSING RD STE B |
| City | DURAND |
| State | MI |
| Zip Code | 48429-1083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609073709 | Memorial Hospital | Nurse Practitioner | 9099 E Lansing Rd Ste B, Durand, MI 48429-1083 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659937084 | Kenneth Wayne Rockwell | Specialist/Technologist | 8906 East Lansing Highway, Durand, MI 48429 | 2019-05-10 |
| 1356735161 | Miles Drobish | Specialist/Technologist | 5649 Vernon Rd Lot 27, Durand, MI 48429 | 2015-03-19 |
| 1992929459 | Robert R Canas | General Practice | 406 N Saginaw St, Durand, MI 48429 | 2007-04-13 |
| 1104372358 | Malena Forgach | Physician Assistant | 9099 E Lansing Rd, Durand, MI 48429 | 2016-08-28 |
| 1972699312 | Monroe Medical Clinic Pllc | Family Medicine | 8759 Monroe Rd, Durand, MI 48429 | 2006-10-05 |
| 1629182498 | Burton Dental Center,pc | Dentist | 103 W Clinton St, Suite A, Durand, MI 48429 | 2006-08-18 |
| 1184621658 | Durand Convalescent Center | Skilled Nursing Facility | 8750 E. Monroe Rd., Durand, MI 48429-0197 | 2005-06-30 |
| 1689625030 | Robert L Roty | Family Medicine | 8750 Monroe Rd, Durand, MI 48429-1000 | 2006-05-12 |
| 1710475397 | Kenneth Wall | Physical Therapist | 8750 Monroe Rd, Durand, MI 48429-1000 | 2018-04-29 |
| 1962567438 | Durand Senior Care and Rehab Center, LLC | Durable Medical Equipment & Medical Supplies | 8750 Monroe Rd, Durand, MI 48429-1000 | 2006-12-26 |
| Find all providers in zip 48429 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163663 | Darcy Shay | Nurse Practitioner | 107 W Oakland St, Durand, MI 48429-1233 | 2020-10-28 |
| 1780723015 | Diane L Gutchak | Nurse Practitioner | 9099 E Lansing Rd Ste A, Durand, MI 48429-1083 | 2007-02-05 |
| 1326419300 | Angela Lindstrom | Nurse Practitioner | 905 7th Ave W, Durand, WI 54736-1755 | 2015-10-15 |
| 1578502522 | Angelika Kujacznski | Nurse Practitioner | 9099 E Lansing Rd, Suite C, Durand, MI 48429-1083 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
| 1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
| 1063013837 | Amy Lynn Wadsworth | Nurse Practitioner | 9259 Chambord Dr, Ypsilanti, MI 48197-9281 | 2020-11-06 |
| 1821699844 | Michelle Daldine | Nurse Practitioner | 38481 Gail St, Clinton Township, MI 48036-1823 | 2020-11-05 |
| 1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
| 1205437175 | Michelle Jo Whitesel | Nurse Practitioner | 5861 Shadow Pines Ct, Howell, MI 48843-7130 | 2020-11-05 |
| 1326649617 | Melinda Lee Hawley | Nurse Practitioner | 4019 Stark Dr, West Branch, MI 48661-9633 | 2020-11-04 |
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1619578234 | Devon Kruger | Nurse Practitioner | 4612 W David Hwy, Saranac, MI 48881-9740 | 2020-11-02 |
| 1760083208 | Ramonna Van Alstine | Nurse Practitioner | 13932 Fox Ridge Ln, Allenton, MI 48002-4525 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.