Individual provider · Type 1 NPI
Amanda Bour, NP
Primary Care Nurse Practitioner · Roseville, MI
NPI number
1689223877
Active · reactivated Oct 17, 2025
Practice location
30695 Little Mack Ave Ste 500
Roseville, MI 48066-1772
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 4704372464 (MI) |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
Other primary care nurse practitioner providers in Roseville
About NPI 1689223877
Amanda Bour, NP's National Provider Identifier is 1689223877, issued on Sep 10, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Roseville, MI. The record was last updated on Jul 23, 2026.