Individual
MRS. AMY HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
1701 SOUTH BLVD E, SUITE 390, ROCHESTER HILLS, MI 48307-6122
(248) 293-0055
Mailing address
26901 BEAUMONT BLVD, SOUTHFIELD, MI 48033-3849
(947) 522-1865
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704196332
MI
Other
Enumeration date
08/05/2014
Last updated
12/23/2022
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