Healthcare Provider Details

I. General information

NPI: 1619812666
Provider Name (Legal Business Name): AMANDA CATHERINE DEAR DNP, BS, APRN, ACCNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 E HOSPITAL DR # 48109
ANN ARBOR MI
48109-4000
US

IV. Provider business mailing address

11959 LANDERS DR
PLYMOUTH MI
48170-3549
US

V. Phone/Fax

Practice location:
  • Phone: 877-475-6688
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SN0000X
TaxonomyNeonatal Clinical Nurse Specialist
License Number4704306244
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: