Provider Demographics
NPI:1992966550
Name:AMOE, EMILY A (NP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:A
Last Name:AMOE
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Gender:
Credentials:NP
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Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DR
Mailing Address - Street 2:PO BOX 0446 LOBBY J
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9484
Mailing Address - Country:US
Mailing Address - Phone:734-747-6766
Mailing Address - Fax:734-222-3100
Practice Address - Street 1:4936 W CLARK RD
Practice Address - Street 2:SUITE 100
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-0861
Practice Address - Country:US
Practice Address - Phone:734-434-6200
Practice Address - Fax:734-434-7373
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2025-04-24
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Provider Licenses
StateLicense IDTaxonomies
MI4704285660164W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC154434TY2Medicare PIN