Provider Demographics
NPI:1902212699
Name:DENYES GREEN, AMY JOY (AGACNP, RN)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:JOY
Last Name:DENYES GREEN
Suffix:
Gender:F
Credentials:AGACNP, RN
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:JOY
Other - Last Name:CONTOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1135 W UNIVERSITY DR
Mailing Address - Street 2:SUITE 450
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-1871
Mailing Address - Country:US
Mailing Address - Phone:248-650-2400
Mailing Address - Fax:248-609-9097
Practice Address - Street 1:1135 W UNIVERSITY DR
Practice Address - Street 2:SUITE 450
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-1871
Practice Address - Country:US
Practice Address - Phone:248-650-2400
Practice Address - Fax:248-609-9097
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704227238363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care