IndividualActive
Amanda Greene
NPI 1083183578 · Medical Physician Assistant · Petoskey, MI
Provider details
- NPI number
- 1083183578
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Practice location
116 W Mitchell St
Petoskey, MI 49770-2357
Phone: (231) 347-7395
Approximate (ZIP-level) locationGet directions
Mailing address
2111 Fantasy Ln
Midland, MI 48642-7407
Registry dates
- Enumerated
- 2018-11-14
- Last updated
- 2022-08-24
- Certified
- 2022-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.