Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA NIXON
ActiveAMANDA NIXON is a Medical Physician Assistant healthcare provider located in TUSTIN, Michigan. NPI 1912250861 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · TUSTIN, MI
Registration Details
- NPI Number
- 1912250861
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 16, 2012 (13.861541377497 yrs)
- Last Updated
- Aug 6, 2019
- License
-
5601006530 (MI)
Practice Information
- Address
-
202 S HOWARD STTUSTIN, MI, 496885123Browse MI providers · Browse ZIP 49688
- Phone
- 2314654165
- Fax
- 2314654315
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.