Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA BOUR, NP
Deactivated Sole ProprietorAMANDA BOUR, NP is a Primary Care Nurse Practitioner healthcare provider located in ROSEVILLE, Michigan. NPI 1689223877 is deactivated in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · ROSEVILLE, MI
This NPI has been deactivated.
The record was deactivated on October 1, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1689223877
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 10, 2019 (6.0575342465753 yrs)
- Last Updated
- Oct 19, 2025
- Deactivated
- Oct 1, 2025
- License
-
4704372464 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
30695 LITTLE MACK AVE STE 500ROSEVILLE, MI, 480661772Browse MI providers · Browse ZIP 48066
- Phone
- 3134010256
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in ROSEVILLE, MI
| Name | Credential | NPI |
|---|---|---|
| DAWN M BURKE | CNP | 1568635522 |
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.