Provider Demographics
NPI:1568248102
Name:KIRKPATRICK, AMY J (FNP-C)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:J
Last Name:KIRKPATRICK
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:968 S RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49696-8627
Mailing Address - Country:US
Mailing Address - Phone:231-883-2435
Mailing Address - Fax:
Practice Address - Street 1:968 S RIDGE CT
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49696-8627
Practice Address - Country:US
Practice Address - Phone:231-883-2435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management