Individual
AMY LYNNE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
451 HEALTH PKWY, SUITE B, PAW PAW, MI 49079-8242
(269) 655-3065
(269) 655-0588
Mailing address
451 HEALTH PKWY, SUITE B, PAW PAW, MI 49079-8242
(269) 655-3065
(269) 655-0588
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704205287
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4939773
—
MI
01
—
500H010410
BCBSM
MI
Enumeration date
11/29/2005
Last updated
11/27/2023
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