Provider Demographics
NPI:1073265807
Name:ENGLER, AMY (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:ENGLER
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22380 WOODSTOCK CT
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:48183-3116
Mailing Address - Country:US
Mailing Address - Phone:734-674-7618
Mailing Address - Fax:
Practice Address - Street 1:22380 WOODSTOCK CT
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:MI
Practice Address - Zip Code:48183-3116
Practice Address - Country:US
Practice Address - Phone:734-674-7618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-23
Last Update Date:2022-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704364449163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse