Provider Demographics
NPI:1659992519
Name:SANKAREH, AMIE (NP)
Entity Type:Individual
Prefix:
First Name:AMIE
Middle Name:
Last Name:SANKAREH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:AMIE
Other - Middle Name:
Other - Last Name:CORR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:3270 GREENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BERKLEY
Mailing Address - State:MI
Mailing Address - Zip Code:48072-1161
Mailing Address - Country:US
Mailing Address - Phone:248-268-1525
Mailing Address - Fax:248-268-1523
Practice Address - Street 1:3270 GREENFIELD RD
Practice Address - Street 2:
Practice Address - City:BERKLEY
Practice Address - State:MI
Practice Address - Zip Code:48072-1161
Practice Address - Country:US
Practice Address - Phone:224-826-8152
Practice Address - Fax:248-268-1523
Is Sole Proprietor?:No
Enumeration Date:2020-05-02
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704298952363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily