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NPI Code Detail

MEDICARE: AMY YENUMULAPALLY

MEDICARE: AMY YENUMULAPALLY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner4704366861MI

General Provider Information

NPI Number : 1558013482
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY YENUMULAPALLY
Provider Business Mailing Address
First Line : 24894 TODDY LN
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48335-2075
Country : US
Telephone Number : 313-510-0231
Fax Number :
Provider Business Practice Location Address
First Line : 24894 TODDY LN
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48335-2075
Country : US
Telephone Number : 313-510-0231
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2022
Last Update Date : 10/24/2022

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Directions to “ AMY YENUMULAPALLY ” Practice Location

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