Healthcare Provider Details

I. General information

NPI: 1225952641
Provider Name (Legal Business Name): AMBER ROSE MCARDLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32585 SUTTON RD
CHESTERFIELD MI
48047-3320
US

IV. Provider business mailing address

32585 SUTTON RD
CHESTERFIELD MI
48047-3320
US

V. Phone/Fax

Practice location:
  • Phone: 586-850-3530
  • Fax:
Mailing address:
  • Phone: 586-850-3530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number4704360852
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: