Healthcare Provider Details

I. General information

NPI: 1831016849
Provider Name (Legal Business Name): AMANDA CHERIE LAMOREAUX MSN, RN, AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4466 W BRISTOL RD FL 2
FLINT MI
48507-3170
US

IV. Provider business mailing address

4466 W BRISTOL RD FL 2
FLINT MI
48507-3170
US

V. Phone/Fax

Practice location:
  • Phone: 810-250-4866
  • Fax: 810-250-4867
Mailing address:
  • Phone: 810-250-4866
  • Fax: 810-250-4867

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704375453
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: