Amanda K Nixon Pa-C PC

NPI #1083134886 in Tustin, Michigan

Provider Information

NPI Number: 1083134886
Entity Type: Organization
Organization Name: Amanda K Nixon Pa-C PC
Primary Specialty: Physician Assistant
Enumeration Date: Jun 22, 2017
Last Updated: Aug 6, 2019

Practice Location

Address: 202 S HOWARD ST
City: Tustin
State: Michigan
ZIP Code: 49688-5123
Phone: (231) 465-4165

Authorized Official

Name: AMANDA NIXON, PA-C
Title: OWNER
Phone: (231) 920-1875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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