MEDICARE: DR. AMORENA LILA TOMPKINS DNP, RN, NP-C

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
1	163W00000X	Registered Nurse	4704268300	MI
2	363LP2300X	Primary Care Nurse Practitioner	4704268300	MI
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	4704268300	MI

General Provider Information

NPI Number	:	1952861874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMORENA LILA TOMPKINS DNP, RN, NP-C

Provider Business Mailing Address
First Line	:	PO BOX 6
Second Line	:
City	:	FOSTORIA
State	:	MI
Zip	:	48435-0006
Country	:	US
Telephone Number	:	989-795-2582
Fax Number	:

Provider Business Practice Location Address
First Line	:	2387 S LINDEN RD STE A
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48532-5443
Country	:	US
Telephone Number	:	810-733-1700
Fax Number	:	810-733-1701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2019
Last Update Date	:	01/19/2026

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