IndividualActive
Amanda Bour, NP
NPI 1689223877 · Primary Care Nurse Practitioner · Roseville, MI
Provider details
- NPI number
- 1689223877
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4704372464 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
30695 Little Mack Ave Ste 500
Roseville, MI 48066-1772
Phone: (313) 401-0256
Approximate (ZIP-level) locationGet directions
Mailing address
7179 Turtle Creek Ct Apt 3b
Perrysburg, OH 43551-7488
Registry dates
- Enumerated
- 2019-09-10
- Last updated
- 2025-10-19
- Certified
- 2025-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.