Individual
MRS. AMY ELIZABETH TITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
30775 STEPHENSON HWY, MADISON HEIGHTS, MI 48071-1618
(248) 733-9904
(248) 733-9906
Mailing address
30775 STEPHENSON HWY, MADISON HEIGHTS, MI 48071-1618
(248) 733-9904
(248) 733-9906
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704233391
MI
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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