Mandy Louise Dutter
Community Health Worker in Hastings, MI. Individual provider (NPI-1).
NPI number1306582002
StatusActive
Last updated in NPPESApr 11, 2025
Details
- NPI
- 1306582002
- Entity type
- Individual (NPI-1)
- Name
- Mandy Louise Dutter
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 6, 2022
- Certification date
- Apr 11, 2025
- Last updated
- Apr 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 175T00000X | Peer Specialist | – | – |
Practice location
500 Barfield DrHastings, MI 49058-9018
Phone 269-908-7496
Mailing address
500 Barfield DrHastings, MI 49058-9018
Phone 269-908-7496
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Other Community Health Worker providers in Hastings, MI
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All 12 Community Health Worker providers in Hastings · All 531 providers in Hastings
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