Healthcare Provider Details

I. General information

NPI: 1811814064
Provider Name (Legal Business Name): AMBER LAUREN MCALLISTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E WARWICK DR
ALMA MI
48801-1014
US

IV. Provider business mailing address

3400 E DEERFIELD RD APT K14
MOUNT PLEASANT MI
48858-5624
US

V. Phone/Fax

Practice location:
  • Phone: 989-463-1101
  • Fax:
Mailing address:
  • Phone: 231-429-9415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4704411538
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: