Amanda Nixon is a medical physician assistant in Tustin, MI with 12 years of experience. Amanda Nixon NPI is 1912250861. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
202 S HOWARD ST
TUSTIN, MI
ZIP 49688-123
Phone: (231) 465-4165
Fax: (231) 465-4315
The NPI 1912250861 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 23D2132976 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/16/2012 and was last updated on 8/6/2019.