Individual
MS. AMY ELIZABETH NOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
18101 OAKWOOD BLVD, ISU OBSERVATION UNIT, DEARBORN, MI 48124-4089
(313) 982-5770
(313) 982-5771
Mailing address
38935 ANN ARBOR RD, CREDENTIALING/PAYER CONTRACTING, LIVONIA, MI 48150-3397
(734) 632-0175
(734) 632-0182
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704165314
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12266448
CAQH
—
05
—
1902101314
—
MI
Enumeration date
01/14/2011
Last updated
02/22/2012
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