Individual provider · Type 1 NPI

Amanda Marie Root, PMHNP-BC

Nurse Practitioner · Caledonia, MI

NPI number 1881350890 Active

Practice location

6505 Cherry Meadow Dr SE
Caledonia, MI 49316-9484

Fax (616) 891-3504

Mailing address

300 68th St SE
Grand Rapids, MI 49548-6927

Other practice locations

  • 300 68th St SE, Grand Rapids, MI 49548-6927 · (616) 455-5000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704318995 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

18 other providers at this address

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About NPI 1881350890

Amanda Marie Root, PMHNP-BC's National Provider Identifier is 1881350890, issued on Nov 14, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Caledonia, MI. The record was last updated on Mar 18, 2026.