Search › Michigan › 164W00000X
Amanda Shupe, LPN
NPI 1437823077 · on the registry since 2021 · sole proprietor
Practice
- Address
- 470 Baltimore Dr Ne
Grand Rapids, MI 49503 - Phone
- (616) 890-8364
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan