Provider Demographics
NPI:1699911057
Name:YAQUINTO, AMY LYNN (WHNP-BC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN
Last Name:YAQUINTO
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:HRANEC (MAIDEN NAME)
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3100 PROFESSIONAL DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-5131
Mailing Address - Country:US
Mailing Address - Phone:734-973-0710
Mailing Address - Fax:
Practice Address - Street 1:3100 PROFESSIONAL DR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-5131
Practice Address - Country:US
Practice Address - Phone:734-973-0710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-06
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704234726363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology