Individual
AMSAPRABHA IYYANAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
13794 21 MILE RD, SHELBY TOWNSHIP, MI 48315-4854
(586) 532-2100
Mailing address
13794 21 MILE RD, SHELBY TOWNSHIP, MI 48315-4854
(586) 532-2100
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
4704377609
MI
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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