Individual
MS. AMY DAWN NORTHRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 W CHISHOLM ST, ALPENA, MI 49707-1498
(989) 464-5315
Mailing address
PO BOX 427, HILLMAN, MI 49746-0427
(989) 464-6547
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
4704252912
MI
363L00000X
Nurse Practitioner
Primary
4704252912
MI
Other
Enumeration date
11/17/2020
Last updated
01/22/2026
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