Provider Demographics
NPI:1831112085
Name:DZIURMAN, AMY KRISTIN (NP)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:KRISTIN
Last Name:DZIURMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:50505 SCHOENHERR RD STE 270
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-3141
Mailing Address - Country:US
Mailing Address - Phone:586-323-6085
Mailing Address - Fax:586-500-8865
Practice Address - Street 1:50505 SCHOENHERR RD STE 270
Practice Address - Street 2:
Practice Address - City:SHELBY TWP
Practice Address - State:MI
Practice Address - Zip Code:48315-3141
Practice Address - Country:US
Practice Address - Phone:586-323-6058
Practice Address - Fax:586-500-8865
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704222700363L00000X, 363LW0102X, 163WW0000X, 363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WW0000XNursing Service ProvidersRegistered NurseWound Care
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology