Individual
AMY DRENTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1225 E COOLSPRING AVE STE 2D, MICHIGAN CITY, IN 46360-6312
(219) 878-5037
(219) 861-8142
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28171605A
IN
163W00000X
Registered Nurse
4704302337
MI
363LF0000X
Family Nurse Practitioner
4704302337
MI
363LF0000X
Family Nurse Practitioner
Primary
71004744A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201202830
—
IN
Enumeration date
11/02/2013
Last updated
03/15/2023
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