Individual
AMY JO WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22151 MOROSS RD, DETROIT, MI 48236-2167
(313) 343-6324
(313) 343-4234
Mailing address
673 UNIVERSITY PL, GROSSE POINTE, MI 48230-1260
(313) 885-3163
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704190870
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5008665100
BLUE CROSS & BLUE SHIELD
MI
01
—
S84484
HEALTH ALLIANCE PLAN
MI
Enumeration date
09/20/2006
Last updated
07/08/2007
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