Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA M BASIL-PORTER, PA-C
ActiveAMANDA M BASIL-PORTER, PA-C is a Physician Assistant healthcare provider located in SAINT CLAIR SHORES, Michigan. NPI 1528441854 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SAINT CLAIR SHORES, MI
Registration Details
- NPI Number
- 1528441854
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 6, 2015 (11.105444979557 yrs)
- Last Updated
- Jan 19, 2021
- Licenses
-
MA057154 (PA)5601009765 (MI)
Practice Information
- Address
-
25631 LITTLE MACK AVE STE 205SAINT CLAIR SHORES, MI, 480812108Browse MI providers · Browse ZIP 48081
- Phone
- 5864432380
- Fax
- 5864432935
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SAINT CLAIR SHORES, MI
| Name | Credential | NPI |
|---|---|---|
| TERESA OSTASZEWSKI | — | 1790752723 |
| SCOTT THOMPSON | PA-C | 1417909987 |
| NANCY KOMINIAREK | PA | 1629024666 |
| JENNIFER LOMBARDO | PA | 1508951757 |
| KRISTINE HUBBERT | PA | 1154401719 |
| MR. STEVEN V. MULRENIN | PA-C | 1659595775 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.