Provider Demographics
NPI:1952861874
Name:TOMPKINS, AMORENA LILA (DNP, RN, NP-C)
Entity Type:Individual
Prefix:
First Name:AMORENA
Middle Name:LILA
Last Name:TOMPKINS
Suffix:
Gender:F
Credentials:DNP, RN, NP-C
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:L
Other - Last Name:TOMPKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DNP, RN, NP-C
Mailing Address - Street 1:PO BOX 6
Mailing Address - Street 2:
Mailing Address - City:FOSTORIA
Mailing Address - State:MI
Mailing Address - Zip Code:48435-0006
Mailing Address - Country:US
Mailing Address - Phone:989-795-2582
Mailing Address - Fax:
Practice Address - Street 1:4444 W BRISTOL RD STE 150
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-3161
Practice Address - Country:US
Practice Address - Phone:810-230-9500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-25
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704268300363LP2300X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse