Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Danielle Greene

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083183578

Amanda Danielle Greene is a Student in an Organized Health Care Education/Training Program in Petoskey, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
Specialties on file
2

Practice location Address checks out

116 W Mitchell St
Petoskey, MI 49770-2357
Phone: (231) 347-7395
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601009649 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083183578
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 14, 2018
Last updated in NPPESAugust 24, 2022
Certification dateAugust 24, 2022
Mailing address2111 Fantasy Ln, Midland, MI 48642-7407

Other providers in Petoskey