Individual
MRS. AMY PARENTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
12811 NORTHLINE RD, SOUTHGATE, MI 48195-1109
(734) 283-4600
(734) 283-4683
Mailing address
12811 NORTHLINE RD, SOUTHGATE, MI 48195-1109
(734) 283-4600
(734) 283-4683
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704278758
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI8823002
MEDICARE
MI
01
—
N88950002
MEDICARE
MI
Enumeration date
06/10/2015
Last updated
04/18/2019
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