Provider Demographics
NPI:1134181787
Name:AMAN, LINDA CAROL (APRN-BC, C-NP)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:CAROL
Last Name:AMAN
Suffix:
Gender:F
Credentials:APRN-BC, C-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43494 WOODWARD AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-5054
Mailing Address - Country:US
Mailing Address - Phone:248-335-7740
Mailing Address - Fax:248-338-7979
Practice Address - Street 1:43494 WOODWARD AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-5052
Practice Address - Country:US
Practice Address - Phone:248-335-7740
Practice Address - Fax:248-338-7979
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704098031363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIN50760006Medicare PIN
MIOM74340Medicare ID - Type Unspecified